Crystal Nicole Maxwell, PMHNP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

30528 Issued in TN

Practice address

406 N Whitney Ave Ste 2
Cookeville, TN 38501-4243

Phone

(931) 559-7421

Fax

(931) 233-5565

NPI assigned

Oct 12, 2021

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anchor PsychiatryGroup PAC ID 5890274138, 2 clinicians

Personal Development Center, Inc.Group PAC ID 5496768855, 10 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.

• Anchor Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Cookeville, TN
  • NPI 1801756101
  Medicare reassignment Care Compare group NPD
• Personal Development Center, Inc.

  dba Personal Growth and Learning Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cookeville, TN
  • NPI 1942324884
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1821750274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 PARAN RD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385067335",
            "telephone_number": "931-319-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N WHITNEY AVE STE 2",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014243",
            "telephone_number": "931-559-7421",
            "fax_number": "931-233-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "30528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Matthews
• Laura Helen Matthews, CNM
• Whitney Lachele Matthews, NP
• Maxim Healthcare Services, Inc.
• Bradley Maxwell, PA-C
• Dennis L Maxwell, LMT.
• Robyn Elizabeth Maxwell, ACNP
• Jason Lee Maynard, TEMP-LPC/MHSP
• Margaux Maynard, FNP
• Melissa Maynard

• Psychiatry Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.