Active NPI
John Harrison Krystal, M.D.
- Psychiatry Physician
- West Haven, CT
National Provider Identifier
1336226240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 027473
- Practice address
- 950 Campbell Ave
151D
West Haven, CT 06516-2770 - Phone
- (203) 937-4790
- Fax
- (203) 937-3468
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 21, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 027473 | CT | Primary |
Addresses
Primary practice location
950 Campbell Ave
151D
West Haven, CT 06516-2770
Mailing address
119 Maplevale Dr
Woodbridge, CT 06525-1142
Phone (203) 393-2604
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027473 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvey L. Ruben,MD PC | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- jkrystal3682@direct.ynhh.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.
-
- Psychiatry Physician
- Woodbridge, CT
- NPI 1184744427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1336226240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 MAPLEVALE DR",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065251142",
"telephone_number": "203-393-2604",
"fax_number": "203-393-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 CAMPBELL AVE",
"address_2": "151D",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162770",
"telephone_number": "203-937-4790",
"fax_number": "203-937-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRYSTAL",
"first_name": "JOHN",
"middle_name": "HARRISON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "027473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.