C CRYSTAL PSYCH
NPI 1750818225
Psychologist in Fairfield, OH

Active since May 16, 2017
2810 MACK RD, FAIRFIELD, OH 45014(314) 308-7772(314) 308-7772 Get Directions Write a Review

NPPES record last updated: May 16, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About C Crystal Psych NPPES

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

C CRYSTAL PSYCH (NPI 1750818225) is a healthcare organization registered as a psychologist in Fairfield, Ohio and active in the NPI registry since May 2017. The organization lists Chana D Crystal, Owner, as its authorized official.

NPPES Registry Identity

NPI1750818225
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameC CRYSTAL PSYCH
Location Address2810 MACK RDFairfield, OH 45014-5130
Mailing Address2810 Mack RdFairfield, OH 45014-5130
Fax(314) 308-7772
Organization SubpartNo
Authorized OfficialChana D CrystalOwner · (314) 308-7772
Enumeration DateMay 16, 2017
✔ NPI 1750818225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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 · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · SchoolTaxonomy 103TS0200X
2810 MACK RD, Fairfield, OH 45014

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

C Crystal Psych 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 C Crystal Psych, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1407355266
2812 MACK RD
Fairfield, OH 45014
(513) 666-0816
✔ PECOS✔ Accepts MedicareSame 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 C Crystal Psych's NPI number?

The NPI number for C Crystal Psych is 1750818225. It was assigned to this organization in the NPPES registry on May 16, 2017.

Where is C Crystal Psych located?

C Crystal Psych is located at 2810 Mack Rd, Fairfield, OH 45014. The listed phone number is (314) 308-7772.

What is C Crystal Psych's specialty?

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

Is C Crystal Psych enrolled in Medicare?

Yes. C Crystal Psych is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through C Crystal Psych?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to C Crystal Psych. 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 C Crystal Psych was last updated on May 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.