Active NPI
Crystal Primeau McLeod, M.A., L.L.P.
- Clinical Psychologist
- Houghton, MI
National Provider Identifier
1861607012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301013944
- Practice address
- 400 Emerald St
Houghton, MI 49931-1413 - Phone
- (906) 370-4701
- Fax
- (906) 487-3421
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301013944 | MI | Primary |
Addresses
Primary practice location
400 Emerald St
Houghton, MI 49931-1413
Mailing address
400 Emerald St
Houghton, MI 49931-1413
Phone (906) 370-4701
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013944 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1861607012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EMERALD ST",
"city": "HOUGHTON",
"state": "MI",
"postal_code": "499311413",
"telephone_number": "906-370-4701",
"fax_number": "906-487-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EMERALD ST",
"city": "HOUGHTON",
"state": "MI",
"postal_code": "499311413",
"telephone_number": "906-370-4701",
"fax_number": "906-487-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "CRYSTAL",
"middle_name": "PRIMEAU",
"credential": "M.A., L.L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301013944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houghton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.