Individual provider Active NPI

Crystal Gay, MS, CAS, NCSP

  • School Psychologist
  • Baltimore, MD
National Provider Identifier
1609692078
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
30-7518 Issued in MD
Practice address
301 S Beechfield Ave
Baltimore, MD 21229-4034
Phone
(410) 396-0525
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 30-7518 MD Primary

Addresses

Primary practice location

301 S Beechfield Ave
Baltimore, MD 21229-4034

Mailing address

7033 Garden Walk
Columbia, MD 21044-4902
Phone (410) 868-1998

Other practice location 1

200 E North Ave
Baltimore, MD 21202-5984
Phone (443) 354-4650

Other practice location 2

2400 Round Rd
Baltimore, MD 21225-1001
Phone (410) 396-1379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30-7518MDMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1609692078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 GARDEN WALK",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444902",
            "telephone_number": "410-868-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S BEECHFIELD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294034",
            "telephone_number": "410-396-0525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212025984",
            "country_code": "US",
            "telephone_number": "443-354-4650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Round Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212251001",
            "country_code": "US",
            "telephone_number": "410-396-1379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAY",
        "first_name": "CRYSTAL",
        "credential": "MS, CAS, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MD",
            "license": "30-7518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.