Crystal Marie Smith-Coleman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036113612 Issued in IL

Practice address

2829 S California Ave
Chicago, IL 60608-5106

Phone

(773) 847-8061

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cook County

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1588612832
  Medicare reassignment
• J C Medical Group LTD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1407961592
  NPD
• Tamid Medical Group

  • Internal Medicine Physician
  • Riverwoods, IL
  • NPI 1689744245
  NPD
• King Community Mental Health Center Corp

  • Neurology Physician
  • Chicago, IL
  • NPI 1003056557
  NPD (past)
• Psychiatric Consultants of Illinois

  • Geriatric Psychiatry Physician
  • Elmwood Park, IL
  • NPI 1790713634
  NPD (past)
• Riaz Baber MD SC

  • Counseling Psychologist
  • Naperville, IL
  • NPI 1295956522
  NPD (past)
• Roueen Rafeyan MD LTD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1508048414
  NPD (past)
• The McGrath Clinic

  • Psychiatric Hospital Unit
  • Orland Park, IL
  • NPI 1265585400
  NPD (past)
• The McGrath Clinic S C

  • Mental Health Counselor
  • Orland Park, IL
  • NPI 1952452971
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1972516664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD",
            "address_2": "SUITE N6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603003",
            "telephone_number": "773-275-4800",
            "fax_number": "773-751-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085106",
            "telephone_number": "773-847-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-COLEMAN",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036113612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith & Smith Smile Studio, PC
• Victoria Smith Ellison, LCSW
• Parrish Lavette Smith Hawkins
• Smith Premier Home Care, LLC
• Sherryl Felice Smith-Colbert, FNP-BC
• Olivia Smith-Huang, LMSW, LCSW
• Courtney Classen Smith-Matthews
• Eryn Smith-Moeller, LCPC
• Diavione Smith-Moore
• John Patrick Smith-Moore, LCSW

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.