Active NPI
David Crenshaw, PH.D.
- Clinical Psychologist
- Rhinebeck, NY
National Provider Identifier
1023156809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 004376-1
- Practice address
- 23 East Market Street
Rhinebeck, NY 12572 - Phone
- (845) 876-3400
- Fax
- (845) 876-8973
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 004376-1 | NY | Primary |
Addresses
Primary practice location
23 East Market Street
Rhinebeck, NY 12572
Mailing address
6369 Mill Street
P.O. Box 286
Rhinebeck, NY 12572
Phone (845) 876-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0036271 | Other | NY | GHI |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004376-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023156809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6369 MILL STREET",
"address_2": "P.O. BOX 286",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "12572",
"telephone_number": "845-876-3400",
"fax_number": "845-876-8973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 EAST MARKET STREET",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "12572",
"telephone_number": "845-876-3400",
"fax_number": "845-876-8973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRENSHAW",
"first_name": "DAVID",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "004376-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0036271",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rhinebeck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.