Elaine Renee Crouse, M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS006949L Issued in PA

Practice address

1822 Spring Garden St
Empowerment Resource Associates-2ND Floor
Phila, PA 19130-4122

Phone

(215) 564-0680

NPI assigned

Jan 14, 2010

Last updated

Jan 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1003147042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 SPRING GARDEN ST",
            "address_2": "EMPOWERMENT RESOURCE ASSOCIATES-2ND FLOOR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191304122",
            "telephone_number": "215-564-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 SPRING GARDEN ST",
            "address_2": "EMPOWERMENT RESOURCE ASSOCIATES-2ND FLOOR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191304122",
            "telephone_number": "215-564-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "ELAINE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006949L",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS006949L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Phila, PA
• Providers in Phila, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.