C Crystal Psych

LBN: C Crystal Psych
C Crystal Psych is an health care organization with primary practice located at 2810 Mack Rd , Fairfield OH 45014-5130. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. C Crystal Psych can be contacted via phone (314) 308-7772, or through Crystal, Chana D via phone (314) 308-7772.

Contact Information

Primary practice address
2810 Mack Rd Fairfield OH 45014-5130
Phone: (314) 308-7772
Fax: (314) 308-7772
Website:
Map and Directions
Authorized official contact:
Name: Crystal, Chana D PSYD, EDS
Phone: (314) 308-7772

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1750818225
LBN Legal business name C Crystal Psych
DBA Doing business as
Authorized official Crystal, Chana D PSYD, EDS
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2017
Last updated May 16th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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