Individual provider Active NPI

C Donel Crow, PH D

  • Clinical Psychologist
  • Bakersfield, CA
National Provider Identifier
1083637276
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSYCH15399 Issued in CA
Practice address
1201 24TH St Ste B110-234
Bakersfield, CA 93301-2300
Phone
(661) 747-4896
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSYCH1671 CO
Clinical Psychologist 103TC0700X PSYCH15399 CA Primary

Addresses

Primary practice location

1201 24TH St Ste B110-234
Bakersfield, CA 93301-2300

Mailing address

1201 24TH St Ste B10-234
Bakersfield, CA 93301-2300
Phone (661) 747-4896

Other practice location 1

924 Shattuck Ave
Bakersfield, CA 93305-1221
Phone (661) 747-4896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20070208000414 CA Practitioner - Clinical Psychologist 1052313715 Practice locations: Bakersfield, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

924 Shattuck Ave
Bakersfield, CA 93305-1221
Phone (661) 747-4896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSYCH15399CAMDClinical Psychologist
PSYCH1671COMDClinical Psychologist
15399CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Crow and Associates Clinical PastSince Mar 19, 2021 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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1083637276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 24TH ST STE B10-234",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012300",
            "telephone_number": "661-747-4896",
            "fax_number": "661-424-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 24TH ST STE B110-234",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012300",
            "telephone_number": "661-747-4896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 Shattuck Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933051221",
            "country_code": "US",
            "telephone_number": "661-747-4896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROW",
        "first_name": "C DONEL",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSYCH1671",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSYCH15399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.