Crisis Management Introspect

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LPC-0164 Issued in DC

Legal business name

CRISIS MANAGEMENT INTROSPECT

Doing business as

none

Practice address

2314 Minnesota Ave SE
Washington, DC
Washington, DC 20020-5326

Phone

(202) 581-0778

Fax

(202) 581-0778

NPI assigned

Jul 28, 2007

Last updated

Oct 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Elaine Gravely-Moss,PH.D., PH.D

Title

Director

Phone

(202) 581-0778

Specialties & licenses 1

Addresses

Other names 1

• none Doing business as

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1396935086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 MINNESOTA AVE SE",
            "address_2": "WASHINGTON, DC",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205326",
            "telephone_number": "202-581-0778",
            "fax_number": "202-581-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 MINNESOTA AVE SE",
            "address_2": "WASHINGTON, DC",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205326",
            "telephone_number": "202-581-0778",
            "fax_number": "202-581-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISIS MANAGEMENT INTROSPECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-28",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "GRAVELY-MOSS,PH.D.",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-581-0778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DC",
            "license": "LPC-0164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Jamison Cribbs, MSW, LICSW
• Meredith Crilly, REGISTERED DIETITIAN
• Robin Crim
• Betsy Fisher Crisafulli, MS, RD
• Lisa Crisalli, MD
• Heidi Ream Crismon, MD
• Janice Crisp
• Brian Crissman, CACII
• Ami Crist
• Nicholas Vincent Cristofari, DO

• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.