Active NPI
Krysclie Mayer, PSYD
- Psychologist
- Long Beach, CA
National Provider Identifier
1861573172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 17317
- Practice address
- 4401 Atlantic Ave
Suite 430
Long Beach, CA 90807-2218 - Phone
- (562) 428-3266
- Fax
- (562) 428-3288
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 17317 | CA | Primary |
Addresses
Primary practice location
4401 Atlantic Ave
Suite 430
Long Beach, CA 90807-2218
Mailing address
2099 N Collins Blvd
Suite 100
Richardson, TX 75080-2698
Phone (972) 437-4698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 17317 | CA | MD | Psychologist |
| 17317 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861573172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2099 N COLLINS BLVD",
"address_2": "SUITE 100",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802698",
"telephone_number": "972-437-4698",
"fax_number": "972-671-2087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 ATLANTIC AVE",
"address_2": "SUITE 430",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072218",
"telephone_number": "562-428-3266",
"fax_number": "562-428-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "KRYSCLIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 17317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.