KRISTYN GREGORY DO PC NPI 1710002001

NPI Information

  • NPI: 1710002001
  • Provider Name: KRISTYN GREGORY DO PC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 57327 VAN DYKE RD
    WASHINGTON, MI
    ZIP 48094
  • Phone: (586) 203-2020

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NPI Details

KRISTYN GREGORY DO PC is a child and adolescent psychiatry psychiatry neurology in Washington, MI. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. KRISTYN GREGORY DO PC NPI is 1710002001. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

57327 VAN DYKE RD
WASHINGTON, MI
ZIP 48094-892
Phone: (586) 203-2020
Fax: (586) 992-1210

The provider's authorized official is Kristyn Marie Gregory .
The authorized official title is Owner and has the following contact phone number (586) 203-2020.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 6/21/2018.

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
12084P0800XPsychiatry & NeurologyPsychiatry5101014561MICHIGANNo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry5101014561MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12655012874OTHERMICHIGANBCBSM
2=========OTHERMICHIGANTAX ID

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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