MATTHEW GRANT CRISP (NPI# 1891134656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891134656 |
| Entity Type | Individual |
| Full Name | MATTHEW GRANT CRISP |
| Practice Address |
425 S Broadway Los Angeles CA 90013-1102 |
| Mailing Address |
6666 Green Valley Cir Culver City CA 90230-7068 |
| Practice Telephone | 3108465270 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1851453534 | Matthew Brandon Crisp | Radiology | Scott & White Healthcare Radiology, 2401 S 31st St, Temple, TX 76508-0001 | 2006-12-15 |
| 1710337274 | Matthew James Crisp | Internal Medicine | 1400 Us Highway 61, Festus, MO 63028-4100 | 2016-06-15 |
| Street Address |
425 S BROADWAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90013-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295967693 | Emotional Health Association | Community/Behavioral Health | 425 S Broadway, Los Angeles, CA 90013-1102 | 2009-08-18 |
| 1790306983 | Joseline Martinez | Case Manager/Care Coordinator | 425 S Broadway, Los Angeles, CA 90013-1102 | 2020-04-29 |
| 1265067359 | Jose Gutierrez Ortega | Case Manager/Care Coordinator | 425 S Broadway, Los Angeles, CA 90013-1102 | 2020-03-09 |
| 1659911410 | Jerry Abby Loeb | Case Manager/Care Coordinator | 425 S Broadway, Los Angeles, CA 90013-1102 | 2020-01-09 |
| 1598327454 | Mariela Escobar | Case Manager/Care Coordinator | 425 S Broadway, Los Angeles, CA 90013-1102 | 2019-07-01 |
| 1588151161 | David Matthew Brena | Case Manager/Care Coordinator | 425 S Broadway, Los Angeles, CA 90013-1102 | 2018-04-18 |
| 1144777483 | De Voria Wallace | Case Manager/Care Coordinator | 425 S Broadway, Los Angeles, CA 90013-1102 | 2016-09-02 |
| 1760935324 | Emily Wu Truong | Case Manager/Care Coordinator | 425 S Broadway, Los Angeles, CA 90013-1102 | 2016-08-01 |
| 1184001679 | Hubert Price | Case Manager/Care Coordinator | 425 S Broadway, Los Angeles, CA 90013-1102 | 2015-05-04 |
| 1821498593 | James Christopher | Case Manager/Care Coordinator | 425 S Broadway, Los Angeles, CA 90013-1102 | 2014-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470327 | Mia Rashap | Technician, Other | 555 W 5th St, Los Angeles, CA 90013 | 2019-04-12 |
| 1992263941 | Shiane Lyana Ferretti | Technician, Other | 555 West 5th Street, Los Angeles, CA 90013 | 2019-03-08 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1386150886 | Abel Joseph Apodaca Jr. | Counselor | 512 East 4th Street, Los Angeles, CA 90013 | 2017-12-19 |
| 1578075560 | Anthony Perez | Case Manager/Care Coordinator | 522 S San Pedro, Los Angeles, CA 90013 | 2017-10-30 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1275930877 | Araceli Zuniga | Rehabilitation Practitioner | 640 South Maple Avenue, Los Angeles, CA 90013 | 2014-11-25 |
| 1558785956 | Carlos Mejia | Counselor | 470 E. 3rd St., Los Angeles, CA 90013 | 2014-02-06 |
| 1679908081 | Troy Gabrielson | Counselor | 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 | 2013-09-05 |
| 1417298753 | Pierre Houbein | Physician Assistant | 311 Winston St., Los Angeles, CA 90013 | 2013-03-12 |
| Find all providers in zip 90013 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
| 1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
| 1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
| 1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
| 1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
| 1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
| 1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
| 1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90013 |
Please comment or provide details below to improve the information on MATTHEW GRANT CRISP.
| 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.