Craig A Erisman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6966 Issued in FL

Practice address

2900 SW 13TH St
Lees Summit, MO 64081-3800

Phone

(816) 516-7114

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, AR2 enrollments

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 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Hope Is Still Alive LLC.

  • Clinic/Center
  • Tucson, AZ
  • NPI 1144895533
  NPD
• LTC Consultants LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Belton, MO
  • NPI 1730346230
  NPD (past)
• Dr Dodge & Associates

  • Clinical Psychologist
  • Olathe, KS
  • NPI 1053556761
  NPD (past)
• Rionda Anesthesia Services, LLC

  • Anesthesiology Physician
  • Doral, FL
  • NPI 1487926523
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1154449676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SW 13TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813800",
            "telephone_number": "816-516-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SW 13TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813800",
            "telephone_number": "816-516-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERISMAN",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Epc Mo Aco LLC
• Karen L Epperson, M.D
• Krystina Erichsen
• Lisa M Erickson, LCSW
• Erin Neill Bromley, DDS
• Dawn A. Ertel, O.D.
• Alexander Ervin
• Nina Escobar Petersen, LCSW
• Kaylyn Eshraghi
• Abigail Kathryn Eskew, RD, LD

• Clinical Psychologist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.