Crystal McCarthy, PMHNP

Key facts

NPI

1821754300

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

315532 (AZ)

Practice address

6074 E Oliver Ave
Prescott Valley, AZ 86314-4500

Phone

(928) 515-4375

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 11

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.

• West Yavapai Guidance Clinic, Inc Psychiatric Hospital · Prescott, AZ · NPI 1952550071
  Medicare reassignment Care Compare group NPD AZ
• Mind 247 Practice LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ · NPI 1902472467
  Medicare reassignment Care Compare group AZ
• Guidance Center Inc Community/Behavioral Health Agency · Flagstaff, AZ · NPI 1679563290
  Medicare reassignment NPD AZ
• Revitalize Ketamine Clinic LLC Multi-Specialty Clinic/Center · Flagstaff, AZ · NPI 1346911195
  Medicare reassignment NPD AZ
• Thrive Mental Health Wellness Psychiatric/Mental Health Nurse Practitioner · Prescott Valley, AZ · NPI 1376406553
  NPD Authorized official PSYCHIATRIC/MENTAL HEALTH
• Southwest Behavioral Health Services Inc Community/Behavioral Health Agency · Phoenix, AZ · NPI 1144384389
  Medicare reassignment AZ
• West Yavapai Guidance Clinic, Inc. Mental Health Counselor · Prescott Valley, AZ · NPI 1639367105
  Care Compare group NPD (past)
• Guidance Center Inc Community/Behavioral Health Agency · Williams, AZ · NPI 1316014459
  NPD
• West Yavapai Guidance Clinic Clinic/Center · Camp Verde, AZ · NPI 1538878186
  NPD
• West Yavapai Guidance Clinic, Inc. Mental Illness Community Based Residential Treatment Facility · Prescott, AZ · NPI 1033163514
  NPD
• West Yavapai Guidance Clinic Psychiatric Hospital · Prescott, AZ · NPI 1023836533
  NPD (past)

Medicare Care Compare profile

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 LLC (33 clinicians)
West Yavapai Guidance Clinic Inc (21 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 18, 2024.

{
    "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

• Kent Mattern, LPC
• Patricia Ann Matthews, MS CCC SLP
• Miles Maxwell, HIS
• Shannon Mayotte, BSN RN
• Paula McCann
• James W. McCarver, M.D.
• Thomas G. McCleary, DO
• Lori L McDonald, LMT
• Sheryl McGeary, RN
• Timothy Lee McGhee, FNP-C

All providers in Prescott Valley, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona