MS. CRYSTAL LYNN BUSHONG
NPI 1508049230
Community Based Residential Treatment Facility, Mental Illness in Prescott, AZ

Active since December 17, 2007
2105 DEMERSE AVE, PRESCOTT, AZ 86301(928) 717-8834 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Crystal Lynn Bushong NPPES

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

MS. CRYSTAL LYNN BUSHONG (NPI 1508049230) is an individual community based residential treatment facility, mental illness provider in Prescott, Arizona and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1508049230
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameMS. CRYSTAL LYNN BUSHONG
Location Address2105 DEMERSE AVEPrescott, AZ 86301-1013
Mailing Address2105 Demerse AvePrescott, AZ 86301-1013 · (928) 717-8834
Sole ProprietorYes
Enumeration DateDecember 17, 2007
NPI 1508049230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2105 DEMERSE AVE, Prescott, AZ 86301

Other Providers at the Same Location NPPES 2

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

Acupuncturist
2105 DEMERSE AVE
PRESCOTT, AZ 86301
Acupuncturist
2105 DEMERSE AVE
PRESCOTT, AZ 86301

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 Bushong's NPI number?

The NPI number for Crystal Bushong is 1508049230. It was assigned to this individual provider in the NPPES registry on December 17, 2007.

Where is Crystal Bushong located?

Crystal Bushong practices at 2105 Demerse Ave, Prescott, AZ 86301. The listed phone number is (928) 717-8834.

What is Crystal Bushong's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Crystal Bushong was last updated on December 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.