Individual provider Active NPI

Jason Don Crowley, M.D., M.P.H.

  • Psychiatry Physician
  • Mansfield, TX
National Provider Identifier
1003261348
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
U8310 Issued in TX
Practice address
1759 Broad Park Cir S Ste 113
Mansfield, TX 76063-7836
Phone
(682) 868-1004
Fax
(682) 345-7662
NPI assigned
Apr 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 309836 NY
Psychiatry Physician 2084P0800X A200973 CA
Psychiatry Physician 2084P0800X MD.MD.61664837 WA
Psychiatry Physician 2084P0800X U8310 TX Primary

Addresses

Primary practice location

1759 Broad Park Cir S Ste 113
Mansfield, TX 76063-7836

Mailing address

1759 Broad Park Cir S Ste 113
Mansfield, TX 76063-7836
Phone (682) 868-1004

Other practice location 1

2178 Johnson Ave
San Luis Obispo, CA 93401-4535
Phone (805) 903-1905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805001624 NY Practitioner - Psychiatry 3476984410 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Univ of Central Florida, College of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1759 Broad Park Cir S
Suite 113
Mansfield, TX 76063-7836

4055 International PLZ
Suite 605
Fort Worth, TX 76109-4891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jul 19, 2021 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jul 19, 2021 Accepting new patients
Rochester General Hospital Psychiatry Current Accepting new patients
Rochester General Hospital CurrentSince Jul 19, 2021 Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Jul 19, 2021 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jul 19, 2021 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Jul 19, 2021 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

100 Pinewild Dr
#A2
Rochester, NY 14606
Phone (585) 368-6700

100 Pinewild Dr
Ste A
Rochester, NY 14606
Phone (585) 368-6700

81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900

100 Pinewild Dr
#2A
Rochester, NY 14606
Phone (585) 368-6700

224 Alexander St
Rochester, NY 14607
Phone (585) 922-7770

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: jason.crowley@direct.myhealthep.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1003261348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 BROAD PARK CIR S STE 113",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637836",
            "telephone_number": "682-868-1004",
            "fax_number": "682-345-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 BROAD PARK CIR S STE 113",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637836",
            "telephone_number": "682-868-1004",
            "fax_number": "682-345-7662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2178 Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014535",
            "country_code": "US",
            "telephone_number": "805-903-1905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "JASON",
        "middle_name": "DON",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-24",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "309836",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A200973",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD.MD.61664837",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U8310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.