Crystal a. Jackson, PH.D. , LLP, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CRYSTAL A. JACKSON, PH.D. , LLP, LLC

Doing business as

Crystal A. Jackson, Ph.D. , LLP, LLC

Practice address

3011 W Grand Blvd
Detroit, MI 48202-3096

Phone

(586) 943-0563

NPI assigned

Aug 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Crystal A Jackson, PH.D.NPI 1255595948

Title

Owner/Psychologist

Phone

(586) 943-0563

Specialties & licenses 1

Addresses

Other names 1

• Crystal A. Jackson, Ph.D. , LLP, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Crystal A. Jackson, PH.D., LLP

  • Counseling Psychologist
  • Detroit, MI
  • NPI 1255595948
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1073124772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD STE 418",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023011",
            "telephone_number": "586-943-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023096",
            "telephone_number": "586-943-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL A. JACKSON, PH.D. , LLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "586-943-0563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal A. Jackson, Ph.D. , LLP, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helen Anne Karenina Omilig Cruz-Almatrahi, BSN RN
• Alvan R Cruz
• Grace Cruz
• Kendorah Cruz
• Minh Nguyen Cruz, MD
• Crystal Dietary Service Inc
• Crystal Home Healthcare Phcy
• Crystal Serenity House
• Crystal Social Service Inc
• Cscomrie Psychology PLLC

• Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.