Individual provider Active NPI

Crystal McCarthy, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1821754300
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
315532 Issued in AZ
Practice address
6074 E Oliver Ave
Prescott Valley, AZ 86314-4500
Phone
(928) 515-4375
NPI assigned
Nov 9, 2021
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 315532 AZ Primary

Addresses

Primary practice location

6074 E Oliver Ave
Prescott Valley, AZ 86314-4500

Mailing address

6074 E Oliver Ave
Prescott Valley, AZ 86314-4500
Phone (928) 515-4375

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250303001558 AZ Practitioner - Nurse Practitioner 4981125366 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mind 247 Practice LLCGroup PAC ID 6406253541, 33 clinicians
West Yavapai Guidance Clinic IncGroup PAC ID 3375524358, 21 clinicians

Practice addresses (Care Compare)

1138 S Higley Rd
Mesa, AZ 85206-3000
Phone (844) 646-3247

505 S Cortez St
West Yavapai Guidance Clinic Inc Cortez Cli
Prescott, AZ 86303-4319
Phone (928) 445-5211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
315532AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Yavapai Guidance Clinic, Inc. CurrentSince Feb 7, 2025 Accepting new patients
Revitalize Ketamine Clinic LLC CurrentSince Jan 1, 2026 Accepting new patients
Thrive Mental Health Wellness Psychiatric/Mental Health CurrentSince Dec 7, 2025 Accepting new patients
West Yavapai Guidance Clinic CurrentSince Feb 7, 2025 Accepting new patients
Guidance Center Inc Current Accepting new patients
West Yavapai Guidance Clinic, Inc Current Accepting new patients
West Yavapai Guidance Clinic PastSince Oct 6, 2024 Accepting new patients
West Yavapai Guidance Clinic, Inc. Past Accepting new patients

Locations

2187 N Vickey St
Flagstaff, AZ 86004
Phone (928) 527-1899

2695 E Industrial Dr
Flagstaff, AZ 86004
Phone (928) 527-1899

906 W University Ave
Ste 150
Flagstaff, AZ 86001
Phone (928) 248-8082

505 S Cortez St
Prescott, AZ 86303
Phone (602) 445-7730

3347 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 499-6908

8655 E Eastridge Rd
Ste A
Prescott Valley, AZ 86314

3343 N Windsong Dr
Prescott Vly, AZ 86314
Phone (406) 541-3669

Interoperability endpoints

  • Direct secure messaging: crystal.mccarthy.p1@direct.tgcaz.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1821754300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6074 E OLIVER AVE",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863144500",
            "telephone_number": "928-515-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6074 E OLIVER AVE",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863144500",
            "telephone_number": "928-515-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "CRYSTAL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "315532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.