Organization · Type 2 NPI
Crystal Clear Psychiatry PLLC
Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
NPI number
1902775760
Active
Practice location
2266 S Dobson Rd Ste 200
Mesa, AZ 85202-6412
Mailing address
40035 W Venture Rd
Maricopa, AZ 85138-2855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1902775760
Crystal Clear Psychiatry PLLC's National Provider Identifier is 1902775760, issued on Oct 31, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mesa, AZ. The record was last updated on Oct 31, 2025.