Elie R. Crystal, D.O. PLLC.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ELIE R. CRYSTAL, D.O. PLLC.

Practice address

2600 Douglas Rd Ste 1003
Coral Gables, FL 33134-6142

Phone

(561) 428-9270

NPI assigned

Jun 22, 2023

Organization subpart

No

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

Authorized official

Name

Elie CrystalNPI 1396275954

Title

Manager

Phone

(561) 428-9270

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elie Crystal, DO

  • Psychiatry Physician
  • Miami, FL
  • NPI 1396275954
  NPD Authorized official

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1639855042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 SW 74TH CT FL 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DOUGLAS RD STE 1003",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346142",
            "telephone_number": "561-428-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIE R. CRYSTAL, D.O. PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "CRYSTAL",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-428-9270"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.