Individual provider Active NPI

Krystal Nicole Machado, PSYD

  • School Psychologist
  • Johnston, RI
National Provider Identifier
1093140303
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PS02170 Issued in RI
Practice address
269 Greenville Ave Unit E
Johnston, RI 02919-2656
Phone
(401) 777-7924
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PS02170 RI
Psychologist 103T00000X PS02170 RI
School Psychologist 103TS0200X PS02170 RI Primary
Intellectual & Developmental Disabilities Psychologist 103TM1800X PS02170 RI

Addresses

Primary practice location

269 Greenville Ave Unit E
Johnston, RI 02919-2656

Mailing address

269 Greenville Ave Unit E
Johnston, RI 02919-2656
Phone (401) 777-7924

Other names 1

  • Krystal Nicole Bartley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS02170RIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Informed, LLC Psychologist CurrentSince Sep 21, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1093140303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 GREENVILLE AVE UNIT E",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192656",
            "telephone_number": "401-777-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 GREENVILLE AVE UNIT E",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192656",
            "telephone_number": "401-777-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "KRYSTAL",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "RI",
            "license": "PS02170",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS02170",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "RI",
            "license": "PS02170",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "RI",
            "license": "PS02170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "BARTLEY",
            "middle_name": "NICOLE",
            "credential": "MA, CAGS, PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.