Crislyn Kay Grzegorczyk

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5341 Prairie Home Dr SE
Grand Rapids, MI 49546-9015

Phone

(989) 891-4763

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1649822594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 PRAIRIE HOME DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469015",
            "telephone_number": "989-891-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 PRAIRIE HOME DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469015",
            "telephone_number": "989-891-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZEGORCZYK",
        "first_name": "CRISLYN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sera A Gruszka, PHD, LP
• Angela Marie Grutter, MA, LLPC
• Bethany Grysko, MS, CGC
• Kayla Grzech, LMSW, LCSW
• Barbara Grzegorczyk, MD
• Jordan Grzegorczyk
• Joanne Marie Grzeszak, DO
• Ellie Gschwendtner, MD
• Emily Adele Gualtieri Riley, M.D.
• Zhe Guan

• Behavior Technician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.