DR. CHANA CRYSTAL PSYD
NPI 1407355266
Psychologist in Fairfield, OH

Active since February 07, 2018PECOS EnrolledAccepts Medicare Assignment
2812 MACK RD, FAIRFIELD, OH 45014(513) 666-0816 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Chana Crystal Psyd NPPES

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

DR. CHANA CRYSTAL PSYD (NPI 1407355266) is an individual psychologist in Fairfield, Ohio, licensed in Ohio (7554) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1407355266
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHANA CRYSTALCredential: PSYD
Location Address2812 MACK RDFairfield, OH 45014-5130
Mailing Address2812 Mack RdFairfield, OH 45014-5130 · (513) 666-0816
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 7, 2018
Last NPPES UpdateMarch 15, 2019
✔ NPI 1407355266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OH · 7554
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 7554 (OH)
2812 MACK RD, Fairfield, OH 45014

Other Identifiers 1

OtherCS180030014OH · Caresource

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Chana Crystal Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880938018
PECOS Enrollment IDI20181129000688
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Chana Crystal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Psychologist
2810 MACK RD
Fairfield, OH 45014
  • Reassigned Medicare billing, Ohio enrollment
Clinical Neuropsychologist
4015 EXECUTIVE PARK DR STE 320
Cincinnati, OH 45241
  • Reassigned Medicare billing, Ohio enrollment
  • 27 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services17 patients

Other Providers at the Same Location NPPES 7

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

Clinical Neuropsychologist
2812 MACK RD
FAIRFIELD, OH 45014
Psychologist (Clinical)
2812 MACK RD
FAIRFIELD, OH 45014
Clinical Neuropsychologist
2812 MACK RD
FAIRFIELD, OH 45014
Psychologist (Clinical)
2812 MACK RD
FAIRFIELD, OH 45014
Psychologist (Clinical)
2812 MACK RD
FAIRFIELD, OH 45014
Psychologist (Clinical)
2812 MACK RD
FAIRFIELD, OH 45014
Home Health
2812 MACK RD
FAIRFIELD, OH 45014

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 Chana Crystal's NPI number?

The NPI number for Chana Crystal is 1407355266. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Where is Chana Crystal located?

Chana Crystal practices at 2812 Mack Rd, Fairfield, OH 45014. The listed phone number is (513) 666-0816.

What is Chana Crystal's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Chana Crystal enrolled in Medicare?

Yes. Chana Crystal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Chana Crystal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chana Crystal reassigns Medicare benefits to 2 organizations: C Crystal Psych (Fairfield, OH) and Neuropsych Center Of Greater Cincinnati LLC (Cincinnati, OH). Each 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 Chana Crystal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chana Crystal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Chana Crystal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chana Crystal was last updated on March 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.