Individual provider Active NPI

Crystal Molyneaux, PSY.D., NCSP

  • Counseling Psychologist
  • New Brunswick, NJ
National Provider Identifier
1346953429
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
17 Senior St
New Brunswick, NJ 08901-8534
Phone
(848) 932-7884
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

17 Senior St
New Brunswick, NJ 08901-8534

Mailing address

17 Senior St
New Brunswick, NJ 08901-8534

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL RUCAPSCM Rutgers University Health Services

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

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1346953429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SENIOR ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089018534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SENIOR ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089018534",
            "telephone_number": "848-932-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLYNEAUX",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "PSY.D., NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "RUCAPSCM",
            "affiliation": "Y",
            "affiliationName": "Rutgers University Health Services",
            "address_1": "17 Senior St",
            "city": "New Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "089018534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.