Active NPI
Crystal L Branham, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Concord, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2368322
- Practice address
- 300 Baker Ave Ste 300
Concord, MA 01742-2124 - Phone
- (833) 351-8255
- NPI assigned
- Nov 22, 2011
- Last updated
- Oct 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 086065-23 | NH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95026946 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0102125-C-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26336 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 350979 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CP003104 | SD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 406281 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2368322 | MA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-82469-061 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3007228 | KY | |
| Family Nurse Practitioner | 363LF0000X | LG-0011841 | DE |
Addresses
Primary practice location
300 Baker Ave Ste 300
Concord, MA 01742-2124
Mailing address
109 W 27TH St RM 5S
New York, NY 10001-6208
Phone (833) 351-8255
Other practice location 1
101 S Reid St Ste 307
Sioux Falls, SD 57103-7045
Phone (833) 351-8255
Other practice location 2
5815 Broadway Ave
Great Bend, KS 67530-3123
Phone (620) 792-2544
Other practice location 3
8101 College Blvd Ste 100
Overland Park, KS 66210-2671
Phone (833) 351-8255
Other practice location 4
15 Constitution Dr Fl 1
Bedford, NH 03110-6042
Phone (833) 351-8255
Other practice location 5
2300 Litton Ln Ste 250
Hebron, KY 41048-9132
Phone (833) 351-8255
Other practice location 6
109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255
Other practice location 7
6200 Hospitality Dr
Franklin, TN 37067-5063
Phone (833) 351-8255
Other practice location 8
7921 Kingswood Dr
Citrus Heights, CA 95610-7710
Phone (833) 351-8255
Other practice location 9
1000 N West St
Wilmington, DE 19801-1047
Phone (833) 351-8255
Other practice location 10
2373 Central Park Blvd Unit 100
Denver, CO 80238-2300
Phone (833) 351-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, MA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
495 Western Ave
Brighton, MA 02135-1007
Phone (617) 783-0500
5815 Broadway Ave
Great Bend, KS 67530-3123
Phone (620) 792-2544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0011841 | DE | MD | Family Nurse Practitioner |
| 95026946 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| C-APN.0102125-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| 53-82469-061 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
| 3007228 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN2368322 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 350979 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 406281 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| CP003104 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
| 26336 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Counseling and Consultation | Current | Accepting new patients | |
| Charles River Community Health, Inc | Current | Accepting new patients | |
| Spring River Mental Health & Wellness, Inc. | Current | Accepting new patients | |
| Charles River Community Health Inc | Current | Accepting new patients | |
| Forefront-Rosenzweig Medical Services Professional Corporation | Current | Accepting new patients | |
| Spring River Mental Health and Wellness Inc | Current | Accepting new patients | |
| Grow Healthcare Group of Kansas PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Pawnee Mental Health Service, Inc. | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
201 W Walnut St
Columbus, KS 66725
Phone (620) 429-1860
5815 Broadway Ave
Great Bend, KS 67530
Phone (620) 792-2544
6610 SE Quakervale Rd
Riverton, KS 66770
Phone (620) 848-2300
801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161
45 School St
Ste 202
Boston, MA 02108
Phone (908) 731-0819
495 Western Ave
Brighton, MA 02135
43 Foundry Ave
Ste 110
Waltham, MA 02453
Phone (781) 693-3800
Interoperability endpoints
- cbranham46126@direct.ctc.masshiway.net
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Brighton, MA
- NPI 1487664884
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Great Bend, KS
- NPI 1104862549
-
- Psychiatry Physician
- Dallas, TX
- NPI 1588101745
MA
-
- Mental Health Counselor
- Wichita, KS
- NPI 1831848316
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Riverton, KS
- NPI 1447393533
-
- Federally Qualified Health Center (FQHC)
- Allston, MA
- NPI 1134306368
-
dba Spring River Medical Clinic
- Rural Health Clinic/Center
- Riverton, KS
- NPI 1710307582
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
-
- Primary Care Clinic/Center
- Manhattan, KS
- NPI 1356139158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1417224239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "833-351-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BAKER AVE STE 300",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422124",
"telephone_number": "833-351-8255"
}
],
"practiceLocations": [
{
"address_1": "101 S Reid St Ste 307",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571037045",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5815 Broadway Ave",
"address_purpose": "LOCATION",
"city": "Great Bend",
"state": "KS",
"postal_code": "675303123",
"country_code": "US",
"telephone_number": "620-792-2544",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8101 College Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662102671",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 Constitution Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "NH",
"postal_code": "031106042",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 Litton Ln Ste 250",
"address_purpose": "LOCATION",
"city": "Hebron",
"state": "KY",
"postal_code": "410489132",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 W 27th St Rm 5S",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100016208",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6200 Hospitality Dr",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "TN",
"postal_code": "370675063",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7921 Kingswood Dr",
"address_purpose": "LOCATION",
"city": "Citrus Heights",
"state": "CA",
"postal_code": "956107710",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N West St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198011047",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2373 Central Park Blvd Unit 100",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802382300",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANHAM",
"first_name": "CRYSTAL",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NH",
"license": "086065-23",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95026946",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "C-APN.0102125-C-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "26336",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "350979",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SD",
"license": "CP003104",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "406281",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2368322",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "53-82469-061",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3007228",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0011841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.