Crystal Dawn Witmer, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS019198 Issued in PA

Practice address

1150 Glenlivet Dr Ste A23
Allentown, PA 18106-3113

Phone

(844) 696-4631

NPI assigned

Nov 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mind Matters Coaching, Counseling, and Psychological Associates LLCGroup PAC ID 0648554303, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mind Matters Coaching, Counseling, & Psychological Associates LLC

  • Psychologist
  • Reading, PA
  • NPI 1295187425
  Medicare reassignment Care Compare group NPD
• Blackbird Clinical Services PC

  • Child & Adolescent Psychiatry Physician
  • Allentown, PA
  • NPI 1598524563
  NPD (past)
• Children'S Integrated Center for Success

  • Family Nurse Practitioner
  • Allentown, PA
  • NPI 1447670708
  NPD (past)

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1639612799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 S CEDAR CREST BLVD STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036298",
            "telephone_number": "610-770-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR STE A23",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063113",
            "telephone_number": "844-696-4631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 Centre Tpke Ste 105",
            "address_purpose": "LOCATION",
            "city": "Orwigsburg",
            "state": "PA",
            "postal_code": "179618956",
            "country_code": "US",
            "telephone_number": "844-696-4631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 Quarry Dr Ste A10",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196091153",
            "country_code": "US",
            "telephone_number": "844-696-4631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITMER",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cayden Wisner
• Cecelia Noelle Wisser, MD
• Jeremy D Witcoski, PA
• With Care Transportation, LLC
• Catherine Witherspoon
• Christina Marie Witt, CRNP
• Emmaline Anne Wittwer, MD
• Donna Wloczewski, COTA
• Alyson Wogenrich
• Christopher Wohlberg, MD, PHD

• Psychologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.