Crystallinity Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CRYSTALLINITY CARE PC

Practice address

20905 Greenfield Rd Ste 207
Southfield, MI 48075-5346

Phone

(248) 559-1911

NPI assigned

Dec 27, 2022

Last updated

Jun 5, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Crystal Renee Lee, MD

Title

Medical Director

Phone

(248) 559-1911

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1922711696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 207",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755346",
            "telephone_number": "248-559-1911",
            "fax_number": "248-559-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 207",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755346",
            "telephone_number": "248-559-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTALLINITY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-559-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Crowell
• Fernanda Cynthia Crudo
• Maria Crumes, MD
• Tiara Nicole Crutchfield
• Katia Cruz
• Yolanda Yvette Cuff, NURSE PRACTITIONER
• Walter J Cukrowski, MD
• Jane Cullen, LMSW
• Pamella Cummins
• Jasmine Cunningham-Cheek, DNP

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.