CRYSTAL A CROSSEN (NPI# 1720547680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720547680 |
| Entity Type | Individual |
| Full Name | CRYSTAL A CROSSEN |
| Credential | PEER RECOVERY SPECIA |
| Practice Address |
344 Washington Street Providence RI 02903 |
| Mailing Address |
2756 Post Road Warwick RI 02886 |
| Practice Telephone | 4012723018 |
| Practice Fax Number | 4012721099 |
| Mailing Telephone | 4016916000 |
| Mailing Fax Number | 4016913398 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
344 WASHINGTON STREET |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619473782 | Nicholina Appiah | Registered Nurse | 344 Washington Street, Providence, RI 02903 | 2018-04-05 |
| 1437712320 | Mary-jean Elizabeth Allard | Peer Specialist | 344 Washington Street, Providence, RI 02903 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403045 | Opendoors | Peer Specialist | 485 Plainfield St, Providence, RI 02909-4459 | 2020-07-02 |
| 1891157509 | Amos House | Peer Specialist | 460 Pine St, Providence, RI 02907-1358 | 2016-03-22 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1699385831 | Koren Carbuccia | Peer Specialist | 485 Plainfield St, Providence, RI 02909-4459 | 2020-08-03 |
| 1437712320 | Mary-jean Elizabeth Allard | Peer Specialist | 344 Washington Street, Providence, RI 02903 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073076121 | Parent Support Network of Rhode Island | Peer Specialist | 535 Centerville Rd Ste 202, Warwick, RI 02886-4376 | 2019-04-07 |
| 1518439439 | Michael Galipeau Consulting | Peer Specialist | 1005 Main St Unit 1104, Pawtucket, RI 02860-7804 | 2018-12-18 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| 1043240799 | The Providence Center | Peer Specialist | 890 Centerville Rd, Warwick, RI 02886-4397 | 2006-07-05 |
| 1629632609 | Codac Inc | Peer Specialist | 600 Pawtucket Ave, Pawtucket, RI 02860-6059 | 2019-04-25 |
| 1073071320 | Kimberly Marie Mosier | Peer Specialist | 2756 Post Road, Warwick, RI 02886 | 2019-03-06 |
| 1619435963 | Jessica Downing | Peer Specialist | 2756 Post Road, Warwick, RI 02886 | 2019-03-06 |
| 1467988683 | Codac Inc | Peer Specialist | 1052 Park Ave, Cranston, RI 02910-3225 | 2017-05-08 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on CRYSTAL A CROSSEN.
| 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.