A CRYSTAL MIND (NPI# 1467068262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467068262 |
Entity Type | Organization |
Organization Name | A CRYSTAL MIND |
Practice Address |
6108 Glenngate Ct West Chester OH 45069-4974 |
Practice Telephone | 5132905558 |
Mailing Telephone | 5132905558 |
Enumeration Date | 2020-09-17 |
Last Update Date | 2020-10-06 |
Authorized Official Name | CRYSTAL FARRELL (OWNER) |
Authorized Official Telephone | 5132905558 |
Authorized Official Credential | MSN, APRN-CNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
N | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities | ||
N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6108 GLENNGATE CT |
City | WEST CHESTER |
State | OH |
Zip Code | 45069-4974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891900 | Ami Hardik Parikh | Pharmacist | 8288 Cincinnati Dayton Road, West Chester, OH 45069 | 2020-11-05 |
1083215172 | Ashley Dozier | Pharmacist | 8288 Cincinnati-dayton Road, West Chester, OH 45069 | 2020-11-04 |
1891393575 | Georgia Leeanne Mako | Nurse Practitioner | Minute Clinic #2342, 7217 Cincinnati Dayton Rd, West Chester, OH 45069 | 2020-10-14 |
1407310832 | Holly N Retherford | Behavior Technician | 5900 West Chester Rd, Suite C, West Chester, OH 45069 | 2019-01-30 |
1669966933 | Caring Hearts Home Care, LLC. | Home Health | 8603 Cincinnati Columbus Rd., Ste. J, West Chester, OH 45069 | 2018-06-19 |
1538684972 | Elizabeth Stasser | Counselor | 5900 West Chester Road Suite C, West Chester, OH 45069 | 2017-08-07 |
1942720388 | All Caring Hospice Cincinnati Dayton, LLC | Hospice Care, Community Based | 8857 Cincinnati-dayton Road, Suite 101, West Chester, OH 45069 | 2017-06-27 |
1568991982 | Cassandra Jade Biltz | Speech-Language Pathologist | 8123 Mill Creek Cr, West Chester, OH 45069 | 2017-06-08 |
1316476732 | Christina Louise Kappen | Social Worker | 8904 Brookside Ave, West Chester, OH 45069 | 2017-06-08 |
1033644240 | Claire Stall | Pharmacist | 7675 Wellness Way Ste 100, West Chester, OH 45069 | 2017-04-25 |
Find all providers in zip 45069 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169258 | Taylor Schroeder | Nurse Practitioner | 9117 Cincinnati Columbus Rd, West Chester, OH 45069-3701 | 2020-09-17 |
1871935759 | Kostendena Nicole Krondilou | Nurse Practitioner | 6942 Tylersville Rd, West Chester, OH 45069-1511 | 2013-07-22 |
1952681322 | Anna Marie Dipietro | Nurse Practitioner | 770 E Market St Ste 220, West Chester, PA 19382-4804 | 2011-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
1427658368 | Greta Katherine Heckmann | Nurse Practitioner | 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 | 2020-10-29 |
1083213078 | Smtia Sonali Carpenter | Nurse Practitioner | 9509 Knarwood Ct, Pickerington, OH 43147-8106 | 2020-10-20 |
1255939054 | Jessica Kincaid | Nurse Practitioner | 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 | 2020-10-14 |
1801493531 | Kasey Zink | Nurse Practitioner | 5934 Creek Rd Se, Washington Court House, OH 43160-8778 | 2020-10-06 |
1861099806 | Taylor Buck | Nurse Practitioner | 158 Rock Creek Dr, Delaware, OH 43015-2260 | 2020-10-02 |
1598371296 | Peace of Mind Therapeutics LLC | Nurse Practitioner | 5170 Pebble Brook Dr, Englewood, OH 45322-3632 | 2020-09-17 |
1003421827 | Rachel Bird | Nurse Practitioner | 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | 2020-09-09 |
1740894880 | Angel M Davis | Nurse Practitioner | 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 | 2020-09-05 |
1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
Find all providers with the same taxonomy |
City | WEST CHESTER |
Zip Code | 45069 |
Please comment or provide details below to improve the information on A CRYSTAL MIND.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.