Individual provider Active NPI

Crystal L Branham, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, MA
National Provider Identifier
1417224239
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2368322 Issued in MA
Practice address
300 Baker Ave Ste 300
Concord, MA 01742-2124
Phone
(833) 351-8255
NPI assigned
Nov 22, 2011
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120327000569 KY Practitioner - Nurse Practitioner 8921268079 Reassigns benefits to 1 organization
I20230324000562 MA Practitioner - Nurse Practitioner 8921268079 Reassigns benefits to 2 organizations
I20231104000249 KS Practitioner - Nurse Practitioner 8921268079 Reassigns benefits to 3 organizations

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
Center for Counseling and ConsultationGroup PAC ID 2961458518, 14 clinicians

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

LicenseStateTypeSpecialty
LG-0011841DEMDFamily Nurse Practitioner
95026946CAMDPsychiatric/Mental Health Nurse Practitioner
C-APN.0102125-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
53-82469-061KSMDPsychiatric/Mental Health Nurse Practitioner
3007228KYMDPsychiatric/Mental Health Nurse Practitioner
RN2368322MAMDPsychiatric/Mental Health Nurse Practitioner
350979NYMDPsychiatric/Mental Health Nurse Practitioner
406281NYMDPsychiatric/Mental Health Nurse Practitioner
CP003104SDMDPsychiatric/Mental Health Nurse Practitioner
26336TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Counseling and Consultation CurrentSince Sep 1, 2024 Accepting new patients
Charles River Community Health, Inc CurrentSince Oct 29, 2023 Accepting new patients
Spring River Mental Health & Wellness, Inc. CurrentSince Oct 16, 2023 Accepting new patients
Charles River Community Health Inc Current Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince Nov 1, 2023 Accepting new patients
Spring River Mental Health and Wellness Inc CurrentSince Oct 16, 2023 Accepting new patients
Grow Healthcare Group of Kansas PA Psychiatric/Mental Health CurrentSince Feb 1, 2024 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

  • Direct secure messaging: 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.

NPI Registry JSON

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

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    "enumeration_type": "NPI-1",
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    "number": "1417224239",
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        },
        {
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            "postal_code": "017422124",
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        }
    ],
    "practiceLocations": [
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        {
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        {
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            "postal_code": "031106042",
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        },
        {
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        {
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Hospitality Dr",
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            "city": "Franklin",
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            "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": "",
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            "primary": false
        },
        {
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            "taxonomy_group": "",
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        },
        {
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            "taxonomy_group": "",
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        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
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            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
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        {
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        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
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        },
        {
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            "taxonomy_group": "",
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        {
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        {
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            "license": "3007228",
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        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
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            "license": "LG-0011841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.