Active NPI
Crystal Kannankeril, PSYD LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 071008430
- Legal business name
- CRYSTAL KANNANKERIL, PSYD LLC
- Practice address
- 30 N Michigan Ave Ste 502
Chicago, IL 60602-3834 - Phone
- (312) 834-3076
- NPI assigned
- Sep 27, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Kannankeril
- Title
- Founder and Sole Practitioner
- Phone
- (312) 834-3076
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 071008430 | IL | Primary |
Addresses
Primary practice location
30 N Michigan Ave Ste 502
Chicago, IL 60602-3834
Mailing address
30 N Michigan Ave Ste 502
Chicago, IL 60602-3834
Phone (312) 834-3076
National Provider Directory
National Provider Directory- Tax ID family
- Crystal Kannankeril PSYD LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1902382351
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1639410749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1336658848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 502",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023834",
"telephone_number": "312-834-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 502",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023834",
"telephone_number": "312-834-3076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL KANNANKERIL, PSYD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "KANNANKERIL",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "FOUNDER AND SOLE PRACTITIONER",
"authorized_official_telephone_number": "312-834-3076"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "IL",
"license": "071008430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.