Organization Active NPI

Crystal Simmons, Nurse Practitioner in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • De Kalb Junction, NY
National Provider Identifier
1649176058
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CRYSTAL SIMMONS, NURSE PRACTITIONER IN PSYCHIATRY PLLC
Practice address
2924 County Route 17 Ste 2
De Kalb Junction, NY 13630-3136
Phone
(315) 244-8600
Fax
(800) 536-4237
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Crystal L Simmons, PMHNPNPI 1275897951
Title
Owner, Provider
Phone
(315) 244-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2924 County Route 17 Ste 2
De Kalb Junction, NY 13630-3136

Mailing address

360 Ore Bed Rd
De Kalb Junction, NY 13630-3209
Phone (315) 244-8600

National Provider Directory

National Provider Directory

Locations

2924 County Route 17
Ste 2
De Kalb Junction, NY 13630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1649176058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ORE BED RD",
            "city": "DE KALB JUNCTION",
            "state": "NY",
            "postal_code": "136303209",
            "telephone_number": "315-244-8600",
            "fax_number": "800-536-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 COUNTY ROUTE 17 STE 2",
            "city": "DE KALB JUNCTION",
            "state": "NY",
            "postal_code": "136303136",
            "telephone_number": "315-244-8600",
            "fax_number": "800-536-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL SIMMONS, NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "315-244-8600",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Kalb Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.