The Krystal Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE KRYSTAL FOUNDATION

Practice address

625 Dewey Ave
Elyria, OH 44035-3553

Phone

(216) 242-8152

NPI assigned

Jul 28, 2026

Organization subpart

No

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

Authorized official

Name

Krystal Brantley

Title

Executive Director/President

Phone

(216) 242-8152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1609798933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 DEWEY AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440353553",
            "telephone_number": "216-242-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 DEWEY AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440353553",
            "telephone_number": "216-242-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KRYSTAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "216-242-8152"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Thacker
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Genesis Center
• The Genesis Center
• James Fraser Thoburn, PA-C
• Robyn Anne Thomas
• Roy Hamilton Thomas, M.D.
• Amanda Thompson
• Deborah Ann Thompson, RDH

• Community/Behavioral Health Agency in Elyria, OH
• Providers in Elyria, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.