Active NPI
Crystal Kay Devito, PH.D.
- Clinical Child & Adolescent Psychologist
- Towson, MD
National Provider Identifier
1144467036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 03920
- Practice address
- 28 Allegheny Ave
Suite 1208
Towson, MD 21204-3909 - Phone
- (443) 799-6477
- Fax
- (410) 583-5553
- NPI assigned
- Jan 14, 2009
- Last updated
- Jan 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 03920 | MD | Primary |
Addresses
Primary practice location
28 Allegheny Ave
Suite 1208
Towson, MD 21204-3909
Mailing address
28 Allegheny Ave
Suite 1208
Towson, MD 21204-3909
Phone (443) 799-6477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2022 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03920 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Reznick, LCSW --C, P. a. | Past | Accepting new patients |
Interoperability endpoints
- cdevito32976@direct.hopkinsmedicine.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1922153964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231891200000",
"number": "1144467036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 ALLEGHENY AVE",
"address_2": "SUITE 1208",
"city": "TOWSON",
"state": "MD",
"postal_code": "212043909",
"telephone_number": "443-799-6477",
"fax_number": "410-583-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 ALLEGHENY AVE",
"address_2": "SUITE 1208",
"city": "TOWSON",
"state": "MD",
"postal_code": "212043909",
"telephone_number": "443-799-6477",
"fax_number": "410-583-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVITO",
"first_name": "CRYSTAL",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2009-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MD",
"license": "03920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.