Crystal Shores, PSYD, LP
NPI 1023401452 · Psychologist · Chaska, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal Shores, PSYD, LP is a Psychologist provider in Chaska, MN (NPI 1023401452).
Provider details
- NPI number
- 1023401452
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, LP
- Sex
- Female
- Sole proprietor
- No
- License
- LP5721 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-10
- Last updated
- 2015-03-10
Frequently asked questions
- What is Crystal Shores's NPI number?
- Crystal Shores's National Provider Identifier (NPI) is 1023401452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Crystal Shores's specialty?
- Crystal Shores is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Crystal Shores located?
- Crystal Shores's practice location on file with NPPES is 602 E 4th St, Chaska, MN 55318-2102.
- What is Crystal Shores's phone number?
- The practice phone number listed in the NPPES registry for Crystal Shores is (952) 361-1848.
- Does Crystal Shores accept Medicare?
- Crystal Shores is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Crystal Shores's NPI active?
- Yes — Crystal Shores's NPI (1023401452) is active in the NPPES registry as of the last update on 2015-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.