DR. CRYSTAL MARIE WILLOUGHBY PSYD
NPI 1871788612
Psychologist - Clinical in Stevenson, MD

Q: What is Crystal Willoughby's NPI number?

The NPI number for Crystal Willoughby is 1871788612. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Q: What is Crystal Willoughby's specialty?

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

Q: Is Crystal Willoughby enrolled in Medicare?

No. Crystal Willoughby has opted out of Medicare through June 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since September 13, 2007Opted out of Medicare · through Jun 12, 2028

10433B STEVENSON RD, STEVENSON, MD 21153(410) 205-9202 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Crystal Marie Willoughby Psyd NPPES

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

DR. CRYSTAL MARIE WILLOUGHBY PSYD (NPI 1871788612) is an individual clinical provider in Stevenson, Maryland, licensed in Maryland (05569) and active in the NPI registry since September 2007. She has opted out of Medicare through June 12, 2028.

NPPES Registry Identity

NPI1871788612

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CRYSTAL MARIE WILLOUGHBYCredential: PSYD

Location Address10433B STEVENSON RDStevenson, MD 21153-0602

Mailing Address10433b Stevenson RdStevenson, MD 21153-0602 · (410) 205-9202

Phone(410) 205-9202

Sole ProprietorYes

Enumeration DateSeptember 13, 2007

Last NPPES UpdateJanuary 30, 2017

✔ NPI 1871788612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MD · 05569

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.

10433B STEVENSON RD, Stevenson, MD 21153

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Crystal Marie Willoughby Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 12, 2024 through June 12, 2028.

Opt-Out Effective DateJune 12, 2024

Opt-Out In Effect ThroughJune 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. WILLOUGHBY AND ASSOCIATES

Psychologist (Clinical)

10433B STEVENSON RD
STEVENSON, MD 21153

Baltimore County (410) 205-9202

DANIELLE FENWICK

Psychologist

10433B STEVENSON RD
STEVENSON, MD 21153

Baltimore County (410) 205-9202

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 Willoughby's NPI number?

The NPI number for Crystal Willoughby is 1871788612. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Crystal Willoughby located?

Crystal Willoughby practices at 10433B Stevenson Rd, Stevenson, MD 21153. The listed phone number is (410) 205-9202.

What is Crystal Willoughby's specialty?

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

Is Crystal Willoughby enrolled in Medicare?

No. Crystal Willoughby has opted out of Medicare through June 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Crystal Willoughby was last updated on January 30, 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.