Active NPI
Cryshelle Schouest Patterson, PHD
- Psychologist
- Birmingham, AL
National Provider Identifier
1891974051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1455
- Practice address
- Community Health Services Building 20
930 20TH Street South
Birmingham, AL 35294-0001 - Phone
- (205) 934-5471
- Fax
- (205) 975-2380
- NPI assigned
- Oct 24, 2007
- 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 | 1455 | AL | Primary |
Addresses
Primary practice location
Community Health Services Building 20
930 20TH Street South
Birmingham, AL 35294-0001
Mailing address
CH 19 Suite 307 1530 3Rd Avenue South
Birmingham, AL 35294-0001
Phone (205) 934-4683
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NOT APPLICABLE | Other | NOT APPLICABLE |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1455 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1891974051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CH 19 SUITE 307 1530 3RD AVENUE SOUTH",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940001",
"telephone_number": "205-934-4683",
"fax_number": "205-975-2380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMMUNITY HEALTH SERVICES BUILDING 20",
"address_2": "930 20TH STREET SOUTH",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940001",
"telephone_number": "205-934-5471",
"fax_number": "205-975-2380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "CRYSHELLE",
"middle_name": "SCHOUEST",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "1455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT APPLICABLE",
"identifier": "NOT APPLICABLE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.