CRYSTAL M DELOACH PHD LLC
NPI 1295668010
Clinic/Center - Adult Mental Health in Seattle, WA

Active since June 03, 2026
210 W GALER ST, SEATTLE, WA 98119(206) 448-6944 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Crystal M Deloach Phd Llc NPPES

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

CRYSTAL M DELOACH PHD LLC (NPI 1295668010) is a healthcare organization registered as an adult mental health in Seattle, Washington and active in the NPI registry since June 2026. The organization lists Crystal Deloach, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1295668010
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCRYSTAL M DELOACH PHD LLC
Location Address210 W GALER STSeattle, WA 98119-3332
Mailing Address210 W Galer StSeattle, WA 98119-3332 · (206) 448-6944
Organization SubpartNo
Authorized OfficialCrystal DeloachClinical Psychologist · (206) 448-6944
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1295668010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
210 W GALER ST, Seattle, WA 98119

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal M Deloach Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Crystal M Deloach Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychologist Billing Independently
NPI 1356407639
210 W GALER ST
Seattle, WA 98119
(206) 448-6944
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 M Deloach Phd LLC's NPI number?

The NPI number for Crystal M Deloach Phd LLC is 1295668010. It was assigned to this organization in the NPPES registry on June 3, 2026.

Where is Crystal M Deloach Phd LLC located?

Crystal M Deloach Phd LLC is located at 210 W Galer St, Seattle, WA 98119. The listed phone number is (206) 448-6944.

What is Crystal M Deloach Phd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Crystal M Deloach Phd LLC enrolled in Medicare?

Yes. Crystal M Deloach Phd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crystal M Deloach Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to Crystal M Deloach Phd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crystal M Deloach Phd LLC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.