Active NPI
Tracy L Crutchfield, ED.D., PSY.S.
- School Psychologist
- Live Oak, FL
National Provider Identifier
1023964111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS1003
- Practice address
- 8805 135TH Loop
Live Oak, FL 32060-6382 - Phone
- (386) 590-0086
- NPI assigned
- Mar 10, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS1003 | FL | Primary |
Addresses
Primary practice location
8805 135TH Loop
Live Oak, FL 32060-6382
Mailing address
8805 135TH Loop
Live Oak, FL 32060-6382
Phone (386) 590-0086
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 |
|---|---|---|---|
| SS1003 | FL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy and Learning Concepts, LLC | School | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1023964111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8805 135TH LOOP",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320606382",
"telephone_number": "386-590-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8805 135TH LOOP",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320606382",
"telephone_number": "386-590-0086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUTCHFIELD",
"first_name": "TRACY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "ED.D., PSY.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-10",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS1003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.