Krystal Gregg Psychology, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KRYSTAL GREGG PSYCHOLOGY, PLLC

Practice address

1512 3Rd St
Enumclaw, WA 98022-3401

Phone

(425) 559-4574

NPI assigned

Oct 2, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Krystal R Gregg, PSYDNPI 1003294703

Title

Clinical Psychologist

Phone

(425) 559-4574

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krystal Gregg, PSYD

  • Clinical Psychologist
  • Loma Linda, CA
  • NPI 1003294703
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1043090640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 3RD ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223401",
            "telephone_number": "425-559-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL GREGG PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "425-559-4574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Parco Koontz, DDS
• Jeremy Parco Koontz, DMD
• Shalesa Marie Kovash, L.M.P
• Kelly Krajc
• Kristina Krieger
• Jared Kuhlmann
• Jamie Kunz
• Matthew J Kurczewski
• Janet Gay Kurz, MA, LMHC
• Jun-Beom Kwon, MD

• Adult Mental Health Clinic/Center in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.