Individual provider Active NPI

Crystal Lucile Daniels, PSYD, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1609470780
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R217915 Issued in MD
Practice address
100 West Rd Ste 300
Towson, MD 21204-2370
Phone
(443) 383-3630
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 06730 MD
Nurse Practitioner 363L00000X R217915 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R217915 MD Primary

Addresses

Primary practice location

100 West Rd Ste 300
Towson, MD 21204-2370

Mailing address

9091 Snowden River Pkwy # 1091
Columbia, MD 21046-1657
Phone (443) 383-3630

Other practice location 1

4604 York Rd
Baltimore, MD 21212-4726
Phone (443) 902-8017

Other practice location 2

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210330000654 MD Practitioner - Nurse Practitioner 1254748742 Reassigns benefits to 3 organizations
I20240604000007 DC Practitioner - Nurse Practitioner 1254748742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mosaic Community Services, IncGroup PAC ID 0941289417, 63 clinicians
Living DeliberatelyGroup PAC ID 0244772622, 4 clinicians

Practice addresses (Care Compare)

2225 N Charles St
Baltimore, MD 21218-5778
Phone (410) 938-5434

4419 Falls Rd
Baltimore, MD 21211-1226
Phone (410) 262-9894

Merit-based Incentive Payment System (MIPS)

Final score
70.75 of 100Reported as group
Quality
42.65
Promoting interoperability
51
Improvement activities
40
Cost
84.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
06730MDMDClinical Social Worker
R217915MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychologist CurrentSince Jul 12, 2024 Accepting new patients
Family Services, Inc Current Accepting new patients
Mosaic Community Services, Inc CurrentSince Feb 11, 2021 Accepting new patients
Living Deliberately CurrentSince Jul 11, 2024 Accepting new patients
Mosaic Community Services, Inc CurrentSince Feb 11, 2021 Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Family Services, Inc. CurrentSince Mar 26, 2024 Accepting new patients

Locations

4419 Falls Rd
Baltimore, MD 21211
Phone (410) 262-9894

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

1925 Greenspring Dr
Timonium, MD 21093

1931 Greenspring Dr
Timonium, MD 21093

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1609470780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9091 SNOWDEN RIVER PKWY # 1091",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461657",
            "telephone_number": "443-383-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042370",
            "telephone_number": "443-383-3630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4604 York Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212124726",
            "country_code": "US",
            "telephone_number": "443-902-8017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6501 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212046819",
            "country_code": "US",
            "telephone_number": "410-938-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "CRYSTAL",
        "middle_name": "LUCILE",
        "name_prefix": "Dr.",
        "credential": "PSYD, FNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "06730",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R217915",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R217915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.