Crystal Shores, PSYD, LP
Psychologist · Chaska, MN
Crystal Shores, PSYD, LP is a psychologist with a practice address in Chaska, Minnesota, and NPI 1023401452, issued on Mar 10, 2015. Check the license (Minnesota LP5721, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Crystal Shores
- Credential
- PSYD, LP
- Primary taxonomy
- Psychologist 103T00000X
- License number
- LP5721 MN
Self-reported in NPPES; status is on the state search - Practice location
- 602 E 4TH St, Chaska, MN 55318
- Phone
- (952) 361-1848
- Enumerated
- Mar 10, 2015
- Record last updated
- Mar 10, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20150415001275); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychologist records → All 1,694 in Minnesota → Look up another NPI →
Also registered at 602 E 4TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Holly Hanson, PSY.D., LPPsychologist1306258918
Verify Crystal Shores in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license LP5721Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Optum Behavioral Care OF Colorado PCSaint Louis Park, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Crystal Shores among 1,694 psychologist records in Minnesota
Crystal Shores, PSYD, LP is one of 1,694 psychologist records with a practice address in Minnesota. 22% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 77% of them.
- NPI issued2015 · 77% of these records are older, 21% newer
- In a Medicare fileYes · 22% of these records are
- In the CMS Doctors and Clinicians fileYes · 25% of these records are
- Graduated2012 · median 2007 among the 427 with a school on file
- Record last updated2015 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
7 psychologist records list a practice address in Chaska
They are 7 of the 397 NPPES records with a practice address in Chaska, and 1,694 psychologist records in Minnesota.
All 1,694 in Minnesota → Every provider in Chaska → Psychologist nationwide →
The 8 psychologist records with the nearest ZIP codes
- Mona Affinito, PH.D/Chaska, MN 553181992815872
- Karen Brinkman, MS LPChaska, MN 553181780694141
- Colleen Fafinski, LPChaska, MN 553181356040901
- Roderick Franks, M.A.Chaska, MN 553181568618684
- Holly Hanson, PSY.D., LPChaska, MN 553181306258918
- Anastasia Ristau, PHD LPChaska, MN 553181124049903
- Joy Fairbanks, PHDChanhassen, MN 553171295970259
- Gary Freitas, PH.D., LPChanhassen, MN 553171679598072
Common questions
What is Crystal Shores, PSYD, LP's NPI number?
Crystal Shores, PSYD, LP's National Provider Identifier (NPI) is 1023401452, issued on Mar 10, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Crystal Shores, PSYD, LP located?
The NPPES record lists a practice address at 602 E 4TH St, Chaska, MN, 55318. Phone: (952) 361-1848. Providers update this record themselves, so call before visiting.
How can I verify Crystal Shores, PSYD, LP's license?
NPPES lists Minnesota license number LP5721, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.