Individual provider Active NPI

Crystal Lee Cianfrini, PH.D.

  • Psychologist
  • Sylmar, CA
National Provider Identifier
1528137544
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
15866 Issued in CA
Practice address
16350 Filbert St
Sylmar, CA 91342-1002
Phone
(818) 364-2125
NPI assigned
Nov 6, 2006
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 15866 CA Primary
Clinical Psychologist 103TC0700X PSY15866 CA

Addresses

Primary practice location

16350 Filbert St
Sylmar, CA 91342-1002

Mailing address

550 S. Vermont Ave. 11TH Floor
Los Angeles, CA 90020-1002
Phone (213) 494-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709000445 CA Practitioner - Clinical Psychologist 0042755613 Practice locations: Simi Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Simi Valley, CA 93063
Phone (818) 470-6645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15866CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1528137544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S. VERMONT AVE. 11TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201002",
            "telephone_number": "213-494-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16350 FILBERT ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421002",
            "telephone_number": "818-364-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANFRINI",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "15866",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.