Judith E Craig, PH.D., PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20806 Issued in TX

Practice address

147 West Sunset Road
Ste. 101
San Antonio, TX 78209

Phone

(210) 824-3391

Fax

(210) 828-2873

NPI assigned

Sep 26, 2006

Last updated

Jul 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Judith E. Craig, PH.D., PC

  • Psychologist
  • San Antonio, TX
  • NPI 1043486525
  Authorized official Same address or phone
• Daneen a. Milam, PHD, PC

  • Psychologist
  • San Antonio, TX
  • NPI 1437444965
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1023119823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 WEST SUNSET ROAD",
            "address_2": "STE. 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78209",
            "telephone_number": "210-824-3391",
            "fax_number": "210-828-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 WEST SUNSET ROAD",
            "address_2": "STE. 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78209",
            "telephone_number": "210-824-3391",
            "fax_number": "210-828-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JUDITH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D., PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "20806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3508826",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CH0076",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig M Wright DDS (Walzem Family Dental Associates)
• Craig M Wright DDS
• Emily Craig
• Felisa Craig
• Jodene Craig, NNP
• Langning Craig
• Luis T Craig, D.M.D/M.A.
• Miavonna Rae'on Craig, MS
• Nancy Craig, PH.D.
• Robert Mitchell Craig Jr., D.D.S.

• Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.