Individual provider Active NPI

Tracy L Crutchfield, ED.D., PSY.S.

  • School Psychologist
  • Live Oak, FL
National Provider Identifier
1023964111
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1003 Issued in FL
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

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
SS1003FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.