Active NPI
Jefferson Martin Crowe, PSY.D.
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1003294562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10361
- Practice address
- 8 Faneuil Hall Marketplace # 326
Boston, MA 02109-6114 - Phone
- (303) 304-6528
- NPI assigned
- May 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10361 | MA | Primary |
Addresses
Primary practice location
8 Faneuil Hall Marketplace # 326
Boston, MA 02109-6114
Mailing address
664 Humphrey St Apt 1
Swampscott, MA 01907-2638
Phone (303) 304-6528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750847844 | Other | NATIONAL PROVIDER IDENTIFIER TYPE 2 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10361 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crowe Psychology, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Boston, MA
- NPI 1750847844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1003294562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 HUMPHREY ST APT 1",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "019072638",
"telephone_number": "303-304-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 FANEUIL HALL MARKETPLACE # 326",
"city": "BOSTON",
"state": "MA",
"postal_code": "021096114",
"telephone_number": "303-304-6528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWE",
"first_name": "JEFFERSON",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-15",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER IDENTIFIER TYPE 2",
"identifier": "1750847844",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.