CRYSTAL L EDWARDS
NPI 1760742969
Psychologist - Clinical in San Diego, CA

Q: What is Crystal Edwards's NPI number?

The NPI number for Crystal Edwards is 1760742969. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Q: What is Crystal Edwards's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Edwards was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 22, 2012

480 ALTA RD, SAN DIEGO, CA 92179(619) 661-6500 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2022, Mar 3, 2020, Oct 13, 2016 and 1 more (4 updates tracked since 2016).

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About Crystal L Edwards NPPES

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

CRYSTAL L EDWARDS (NPI 1760742969) is an individual clinical provider in San Diego, California, licensed in California (PSY31415) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1760742969

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameCRYSTAL L EDWARDS

Location Address480 ALTA RDSan Diego, CA 92179-0001

Mailing Address480 Alta RdSan Diego, CA 92179-0001

Phone(619) 661-6500

Sole ProprietorNo

Enumeration DateMay 22, 2012

Last NPPES UpdateApril 27, 20224 updates tracked since enumeration

NPPES CertifiedApril 27, 2022

✔ NPI 1760742969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY31415

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X

480 ALTA RD, San Diego, CA 92179

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Other Providers at the Same Location NPPES 20

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

DR. RAFAEL ELIAS OLIVARES CHAYEB

Psychologist (Clinical)