# CRISTAL SAMPSON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467395640
- **Authorized official:** CRISTAL SAMPSON RN, APRN, PMHNP-BC (OWNER)
- **Authorized official phone:** (347) 622-9524

## Contact information

- **Practice address:** 625 CENTRAL AVE STE 1, NEW HAVEN, CT 06515-2168
- **Practice address phone:** (203) 718-8486
- **Practice address fax:** (763) 402-7607
- **Mailing address:** 625 CENTRAL AVE STE 1, NEW HAVEN, CT 06515-2168
- **Mailing address phone:** (203) 718-8486
- **Mailing address fax:** (763) 402-7607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2026
- **Last updated:** 04/13/2026