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DR. CRYSTAL BALFOUR PSY.D.
NPI 1184919789
Psychologist - Clinical Child & Adolescent in Chicago, IL

Active since June 13, 2011PECOS Enrolled
1500 SOUTH CALIFORNIA AVENUE, NR 553, CHICAGO, IL 60608(773) 257-4750(773) 257-4753 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Crystal Balfour Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRYSTAL BALFOUR PSY.D. (NPI 1184919789) is an individual clinical child & adolescent provider in Chicago, Illinois, licensed in Illinois (071.008702) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184919789
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. CRYSTAL BALFOURCredential: PSY.D.
Location Address1500 SOUTH CALIFORNIA AVENUE, NR 553Chicago, IL 60608
Mailing Address1500 South California Avenue, Nr 553Chicago, IL 60608 · (773) 257-4750 · Fax (773) 257-4753
Phone(773) 257-4750
Fax(773) 257-4753
Sole ProprietorYes
Enumeration DateJune 13, 2011
Last NPPES UpdateJanuary 22, 2016
✔ NPI 1184919789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in IL · 071.008702
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1500 SOUTH CALIFORNIA AVENUE, Chicago, IL 60608
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Crystal Balfour Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY SUSAN SANDRIK MSN, RN, CWOCN
Clinical Nurse Specialist
1500 SOUTH CALIFORNIA AVENUE
CHICAGO, IL 60608
Cook County (773) 542-2000
DR. EMEM INYANG ADOLF-UBOKUDOM M.D.
Internal Medicine (Rheumatology)
1500 SOUTH CALIFORNIA AVENUE
CHICAGO, IL 60608
Cook County (773) 542-2000
DR. MIR ASHAD ALI YADULLAHI M.D
Psychiatry & Neurology (Clinical Neurophysiology)
1500 SOUTH CALIFORNIA AVENUE, OS-551
CHICAGO, IL 60608
Cook County (773) 257-6552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Balfour's NPI number?

The NPI number for Crystal Balfour is 1184919789. It was assigned to this individual provider in the NPPES registry on June 13, 2011.

Where is Crystal Balfour located?

Crystal Balfour practices at 1500 South California Avenue Nr 553, Chicago, IL 60608. The listed phone number is (773) 257-4750.

What is Crystal Balfour's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Crystal Balfour enrolled in Medicare?

Yes. Crystal Balfour is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Balfour was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.