CRYSTAL GIBSON (NPI# 1114382595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114382595 |
| Entity Type | Individual |
| Full Name | CRYSTAL GIBSON |
| Credential | TLLP |
| Practice Address |
33730 Ryan Rd Sterling Heights MI 48310-6302 |
| Practice Telephone | 2488307541 |
| Mailing Telephone | 2488307541 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301015538 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598214991 | Crystal Gibson | Behavioral Analyst | 2940 N Church St Ste 204, Layton, UT 84040-6616 | 2016-09-26 |
| 1295019735 | Crystal Arlene Gibson | Optometrist | 10807 Jersey Ave, Santa Fe Springs, CA 90670-4316 | 2011-10-03 |
| 1598099426 | Crystal Gibson | Case Manager/Care Coordinator | 100 S University Ave, Ste 401, Little Rock, AR 72205-5213 | 2009-09-24 |
| 1174578835 | Crystal Gibson | Physician Assistant | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 | 2006-05-23 |
| Street Address |
33730 RYAN RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48310-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
| 1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
| 1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
| 1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
| Find all providers in zip 48310 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629447636 | Agnes Yarsike | Psychologist | 36456 Dominion Cir, Sterling Heights, MI 48310-7459 | 2015-09-20 |
| 1669719779 | Ashley E Lupico | Psychologist | 42140 Van Dyke Ave Ste 210, Sterling Heights, MI 48314-3676 | 2013-01-09 |
| 1851517189 | Taline Ruth Muskat | Psychologist | 36250 Dequindre Rd Ste 310, Sterling Heights, MI 48310-7143 | 2007-04-17 |
| 1639217847 | Robin Lynne Silver | Psychologist | 6555 15 Mile Rd, Sterling Heights, MI 48312 | 2007-02-01 |
| 1356423313 | Melhim William Restum | Psychologist | 38800 Van Dyke Ave Ste 200, Sterling Heights, MI 48312-1151 | 2006-10-19 |
| 1083707137 | Laurie Burda Mastrogianis | Psychologist | 44056 Mound Rd 105, Sterling Heights, MI 48314-1357 | 2006-10-02 |
| 1790881134 | Charles David Mills | Psychologist | 4151 17 Mile Rd Ste D, Sterling Heights, MI 48310-6866 | 2006-09-15 |
| 1932732419 | Shannon Tran | Psychologist | 41400 Dequindre Rd Ste 110, Sterling Heights, MI 48314-3751 | 2020-02-12 |
| 1962759415 | Midwest Neuro Forensics, PC | Psychologist | 2609 Metropolitan Pkwy, Suite 300, Sterling Heights, MI 48310-4216 | 2012-08-14 |
| 1710279617 | Stars of Wellness Pllc | Psychologist | 44056 Mound Rd, 105, Sterling Heights, MI 48314-1357 | 2011-05-10 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48310 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.