Lisa Courtney Crystal, MED, ATR

Primary specialty

Art TherapistTaxonomy code 221700000X

Practice address

1669 W Maple Rd
Birmingham, MI 48009-1230

Phone

(248) 646-4480

NPI assigned

Oct 9, 2009

Last updated

Oct 9, 2009By the provider in NPPES

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

Credentials

Master of Education

Practice roles

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.

• Variety Far Conservatory

  • Developmentally Disabled Services Day Training Agency
  • Birmingham, MI
  • NPI 1053566398
  NPD (past)

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1851626782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 HUNTWOOD PARK CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48324",
            "telephone_number": "248-360-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 W MAPLE RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091230",
            "telephone_number": "248-646-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYSTAL",
        "first_name": "LISA",
        "middle_name": "COURTNEY",
        "credential": "MED, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Cousins, CERTIFIED TRAINER
• Silvio J Cozzetto, D.C.
• Craig Counseling Services, P.L.L.C.
• Steven J. Craig, PSY.D.
• Michele Denise Crammond, MA, TLLP
• Bethany D Curtiss
• D.C. Bonadeo, D.D.S., P.C.
• Nouha Dabish
• Laura Dale, LMSW
• Civita L Dangela-Wicks, CRNA

• Art Therapist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Art Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.