Organization Active NPI

Crystal Garrison NP, LLC

  • Adult Mental Health Clinic/Center
  • Vancouver, WA
National Provider Identifier
1952719825
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
AP60355508 Issued in WA
Legal business name
CRYSTAL GARRISON NP, LLC
Practice address
304 SE Hearthwood Blvd # 871927
Vancouver, WA 98684-7551
Phone
(360) 907-1042
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Crystal Garrison, ARNP, FAMILIY PMHNP
Title
Family Psychiatric Mental Health NP
Phone
(360) 907-1042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X AP60355508 WA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X AP60355508 WA

Addresses

Primary practice location

304 SE Hearthwood Blvd # 871927
Vancouver, WA 98684-7551

Mailing address

304 SE Hearthwood Blvd # 871927
Vancouver, WA 98684-7551
Phone (360) 907-1042

National Provider Directory

National Provider Directory

Locations

304 SE Hearthwood Blvd
#871927
Vancouver, WA 98684
Phone (360) 907-1042

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1952719825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SE HEARTHWOOD BLVD # 871927",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847551",
            "telephone_number": "360-907-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SE HEARTHWOOD BLVD # 871927",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847551",
            "telephone_number": "360-907-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL GARRISON NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "FAMILY PSYCHIATRIC MENTAL HEALTH NP",
        "authorized_official_telephone_number": "360-907-1042",
        "authorized_official_credential": "ARNP, FAMILIY PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "AP60355508",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": "AP60355508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.