Individual provider Active NPI

Sandra Malott Crosson

  • School Psychologist
  • Lee, NH
National Provider Identifier
1114530714
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
37511 Issued in NH
Practice address
8 Swaan Dr
Lee, NH 03861-6606
Phone
(603) 781-1695
NPI assigned
Aug 25, 2020
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 37511 NH Primary

Addresses

Primary practice location

8 Swaan Dr
Lee, NH 03861-6606

Mailing address

8 Swaan Dr
Lee, NH 03861-6606
Phone (603) 781-1695

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
37511NHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1114530714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SWAAN DR",
            "city": "LEE",
            "state": "NH",
            "postal_code": "038616606",
            "telephone_number": "603-781-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SWAAN DR",
            "city": "LEE",
            "state": "NH",
            "postal_code": "038616606",
            "telephone_number": "603-781-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSON",
        "first_name": "SANDRA",
        "middle_name": "MALOTT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NH",
            "license": "37511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.