A CRYSTAL MIND NPI 1467068262

NPI Information

NPI: 1467068262
Provider Name: A CRYSTAL MIND
Classification: Nurse Practitioner - 363LP0808X
Specialization: Psychiatric/Mental Health
Entity Type: Organization
Address: 4015 EXECUTIVE PARK DR STE 310
CINCINNATI, OH
ZIP 45241
Phone: (513) 923-6336

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NPI Details

A CRYSTAL MIND is a psychiatric/mental health nurse practitioner in Cincinnati, OH. A CRYSTAL MIND NPI is 1467068262. The provider is registered as an organization entity type.

The provider's business location address is:

4015 EXECUTIVE PARK DR STE 310
CINCINNATI, OH
ZIP 45241-015
Phone: (513) 923-6336
Fax: (562) 261-1296

The provider's authorized official is Crystal Farrell .
The authorized official title is Owner and has the following contact phone number (513) 923-6336.

The enumeration date for this NPI number is 9/17/2020 and was last updated on 1/16/2021.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
6	310500000X	Intermediate Care Facility, Mental Illness		No
7	311500000X	Alzheimer Center (Dementia Center)		No
8	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
9	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

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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