Active NPI
John Crumlin, PH.D
- Psychologist
- Colorado Springs, CO
National Provider Identifier
1124031893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3000
- Practice address
- 10 E Monument St
Colorado Springs, CO 80903-1018 - Phone
- (719) 310-1784
- NPI assigned
- Aug 14, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3000 | CO | Primary |
Addresses
Primary practice location
10 E Monument St
Colorado Springs, CO 80903-1018
Mailing address
10 E Monument St
Colorado Springs, CO 80903-1018
Phone (719) 310-1784
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 |
|---|---|---|---|
| 3000 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cu Aging Center | Past | Accepting new patients | |
| Promentus Psychology Services, PLLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Colorado Springs, CO
- NPI 1356597884
-
- Adult Mental Health Clinic/Center
- Colorado Springs, CO
- NPI 1891881736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1124031893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E MONUMENT ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031018",
"telephone_number": "719-310-1784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E MONUMENT ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031018",
"telephone_number": "719-310-1784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMLIN",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "3000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.