Active NPI
Crystal Lee Dussault-Felipe, PH.D.
- Clinical Psychologist
- East Greenwich, RI
National Provider Identifier
1306270343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS01345
- Practice address
- 1485 S County TRL Unit 107
East Greenwich, RI 02818-1771 - Phone
- (401) 785-0040
- Fax
- (401) 941-7847
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- No
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 Psychologist | 103TC0700X | PS01345 | RI | Primary |
Addresses
Primary practice location
1485 S County TRL Unit 107
East Greenwich, RI 02818-1771
Mailing address
1485 S County TRL Unit 107
East Greenwich, RI 02818-1771
Phone (401) 785-0040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240726003421 | RI | Practitioner - Clinical Psychologist | 7315483278 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01345 | RI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychiatry, Inc. | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
1485 S County Trl
Unit 107
East Greenwich, RI 02818
Phone (401) 258-1621
1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830
Interoperability endpoints
- lifestancehealth.crystaldussaultfelipe@151046.advancedmd-direct.com
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": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1306270343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 S COUNTY TRL UNIT 107",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181771",
"telephone_number": "401-785-0040",
"fax_number": "401-941-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 S COUNTY TRL UNIT 107",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181771",
"telephone_number": "401-785-0040",
"fax_number": "401-941-7847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSSAULT-FELIPE",
"first_name": "CRYSTAL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS01345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.