CRYSTAL RIVERS PHD LP NPI 1437748266

NPI Information

  • NPI: 1437748266
  • Provider Name: CRYSTAL RIVERS, PHD, LP
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11090 183RD CIR NW STE C
    ELK RIVER, MN
    ZIP 55330
  • Phone: (763) 777-1381

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NPI Details

Crystal Rivers, PHD, LP is a clinical neuropsychologist in Elk River, MN with 8 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Crystal Rivers, PHD, LP NPI is 1437748266. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11090 183RD CIR NW STE C
ELK RIVER, MN
ZIP 55330-884
Phone: (763) 777-1381

The NPI 1437748266 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/15/2021 and was last updated on 3/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical101246IOWANo
2103G00000XClinical NeuropsychologistLP6956MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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