Individual provider Active NPI

Crystal Elaine Whittington, MA

  • Clinical Psychologist
  • Beckley, WV
National Provider Identifier
1649228313
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
435 Issued in WV
Practice address
313 Market Rd
Beckley, WV 25801-7116
Phone
(304) 254-9003
Fax
(304) 254-9005
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 435 WV Primary

Addresses

Primary practice location

313 Market Rd
Beckley, WV 25801-7116

Mailing address

313 Market Rd
Beckley, WV 25801-7116
Phone (304) 254-9003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20160926000002 WV Practitioner - Clinical Psychologist 3971557422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Psychiatric Services PLLCGroup PAC ID 7214221167, 3 clinicians

Practice addresses (Care Compare)

1014 Johnstown Rd
Beckley, WV 25801-4940
Phone (304) 252-4433

Merit-based Incentive Payment System (MIPS)

Final score
76.91 of 100Reported as group
Quality
24.07
Improvement activities
40
Cost
90.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
435WVMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Psychiatric Services PLLC Clinical CurrentSince Sep 1, 2016 Accepting new patients
Sunrise Psychiatric Services, Inc. Past Accepting new patients
Ahmed D Faheem PastSince Sep 1, 2016 Accepting new patients

Locations

1014 Johnstown Rd
Beckley, WV 25801
Phone (304) 252-4433

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649228313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MARKET RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017116",
            "telephone_number": "304-254-9003",
            "fax_number": "304-254-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MARKET RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017116",
            "telephone_number": "304-254-9003",
            "fax_number": "304-254-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTINGTON",
        "first_name": "CRYSTAL",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.