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Dr. Crystal Rose Mcclain , PhD

Psychologist β€’ Alpine, CA

Active NPI 1568132868 Individual Practitioner Female Practitioner
Practice location in NPPES

2120 Alpine Blvd
Alpine, CA 919012113

Call 6194452644 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2120 Alpine Blvd

Alpine, CA 919012113

Telephone 6194452644
Organization at the Same NPPES Address or Phone
Alpine Special Treatment Center Facility NPI 1063589620

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Alpine and California

4 active clinicians are listed under Psychologist with a practice address in Alpine, CA (7,305 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-20
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES CA 94027722

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Marie Bridgeford

Psychologist - Clinical

NPI 1144623869
Brandon Martinez , MSN, PMHNP-BC, APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033757711

Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner (Board Certified), Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2023

Counselor

βœ…
NPI Profile Active September 17, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 17, 2021

Registered at 2120 ALPINE BLVD, ALPINE, CA 919012113 (Tel: 6194452644)

πŸ“
Business Mailing Address (Initial Record) September 17, 2021

Registered at 2120 ALPINE BLVD, ALPINE, CA 919012113

πŸ‘€
Provider Name / Credentials (Initial Record) September 17, 2021

Recorded as CRYSTAL MCCLAIN, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration September 17, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568132868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2021
Last Update: September 20, 2023
Sole Proprietor: No

Mailing Address

2120 Alpine Blvd

Alpine, CA 919012113

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.