CRYSTAL D WASHINGTON (NPI# 1770119893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770119893 |
| Entity Type | Individual |
| Full Name | CRYSTAL D WASHINGTON |
| Credential | PT |
| Practice Address |
1103 N B St Ste E Sacramento CA 95811-0326 |
| Practice Telephone | 9163788266 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 40665 | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437468709 | Crystal Washington | Counselor | 1950 Keene Rd Bldg L, Richland, WA 99352-7752 | 2010-10-04 |
| 1144718156 | Crystal Washington | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
| 1902352602 | Crystal Washington | Case Manager/Care Coordinator | 5849 Crocker St, Los Angeles, CA 90003-1311 | 2016-09-01 |
| 1992167530 | Crystal Washington | Case Manager/Care Coordinator | 712 First St, Delhi, LA 71232 | 2016-03-23 |
| 1104296276 | Crystal Lynn Washington | Behavior Technician | 140 W Franklin St Ste 202, Monterey, CA 93940-2725 | 2015-10-01 |
| 1962736652 | Crystal Cherelle Washington | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2009-09-28 |
| 1457588469 | Crystal Diane Washington | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2009-06-17 |
| Street Address |
1103 N B ST STE E |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95811-0326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164753984 | Mary Anne Goodrich | Counselor | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2010-01-18 |
| 1841803947 | Kawanda Dashel Marie Brown | Case Manager/Care Coordinator | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-08-28 |
| 1396358446 | Jakob Sebastian O'dell | Case Manager/Care Coordinator | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-08-28 |
| 1235740135 | Janine Angelina Vairetta | Licensed Vocational Nurse | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-08-13 |
| 1538770029 | Robert Thomas Stone Knowles | Licensed Vocational Nurse | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-08-10 |
| 1588273106 | Gawzong Vang | Case Manager/Care Coordinator | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-07-29 |
| 1952929226 | Kayla Ruth-marie Robinson | Licensed Vocational Nurse | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-07-13 |
| 1386261345 | Mary W Wanjiku | Case Manager/Care Coordinator | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-06-25 |
| 1073136941 | Amanda Fay Elliott | Case Manager/Care Coordinator | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-05-26 |
| 1881216786 | Mariah Adeline Kanderi | Case Manager/Care Coordinator | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891190 | Teresa Sy | Behavior Technician | 610 Bercut Dr. Suite B, Sacramento, CA 95811 | 2018-12-03 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| 1669956801 | Andrea Martinez | Counselor | 600 Bercut Dr., Sacramento, CA 95811 | 2018-09-24 |
| 1174000855 | Clinicians Connect Care Home Health & Hospice Services | Home Health | 716 19th Street, Suite 200, Sacramento, CA 95811 | 2018-07-25 |
| 1992202345 | Benjamin James Leibold | Behavior Technician | 610 Bercut Drive, Suite B, Sacramento, CA 95811 | 2018-04-11 |
| 1669979233 | Aja Jones | Counselor | 401 S Street, Sacramento, CA 95811 | 2018-04-10 |
| 1821511916 | Lucas John Monaco | Counselor | 1400 North 'a' Street, Bldg A, Sacramento, CA 95811 | 2017-07-20 |
| 1275089963 | Sergio Vicuna, D.d.s., Inc | Dentist | 1804 19th St, Suite 100, Sacramento, CA 95811 | 2016-09-01 |
| 1386057495 | Chelsea Turner | Counselor | 600 Bercut Drive, Sacramento, CA 95811 | 2014-06-05 |
| 1427473636 | Sidney Caldwell | Counselor | 401 S Street Sacramento, Sacramento, CA 95811 | 2014-02-25 |
| Find all providers in zip 95811 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245374966 | Kathy Mary Simms | Licensed Psychiatric Technician | 6615 Valley Hi Dr # A, Sacramento, CA 95823-4601 | 2007-02-16 |
| 1609972223 | Sallyann Smith | Licensed Psychiatric Technician | 9337 Heathfield Way, Sacramento, CA 95829-6081 | 2006-09-15 |
| 1811090723 | Elizabeth Ann Hayes | Licensed Psychiatric Technician | 811 Grand Ave Suite D, Sacramento, CA 95822-3466 | 2006-09-06 |
| 1275644718 | Levi Aaron Combs | Licensed Psychiatric Technician | 2045 W El Camino Ave Apt 455, Sacramento, CA 95833-1481 | 2006-08-31 |
| 1558384321 | Joseph Warren Gibbs | Licensed Psychiatric Technician | 8036 Center Pkwy, Sacramento, CA 95823-5243 | 2006-07-25 |
| 1356940159 | Hadia N Khalil | Licensed Psychiatric Technician | 401 S St, Sacramento, CA 95811-6919 | 2020-10-22 |
| 1316557465 | Bintu Sia Sorie | Licensed Psychiatric Technician | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2020-08-04 |
| 1023659182 | Theresa Ann Jordan | Licensed Psychiatric Technician | 6950 65th St, Sacramento, CA 95823-2316 | 2019-09-30 |
| 1396394490 | Princess Jarrell | Licensed Psychiatric Technician | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2019-09-10 |
| 1699258392 | Odubanke Yewande Mcgaugh | Licensed Psychiatric Technician | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2018-09-10 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95811 |
Please comment or provide details below to improve the information on CRYSTAL D WASHINGTON.
| 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.