Dale Crowder, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041496 Issued in IN

Practice address

1480 Darlington Ave
Crawfordsville, IN 47933-2007

Phone

(765) 362-2852

Fax

(765) 362-2862

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

No

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 IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Valley Oaks Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, IN
  • NPI 1689629990
  Medicare reassignment

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154477800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 DARLINGTON AVE",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332007",
            "telephone_number": "765-362-2852",
            "fax_number": "765-362-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 DARLINGTON AVE",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332007",
            "telephone_number": "765-362-2852",
            "fax_number": "765-362-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "DALE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crawfordsville Oral Surgery
• Crawfordsville Pediatric Center
• Crawfordsville Senior Opco, LLC
• Crossroads Counseling and Wellness LLC
• Crossroads Orthotics & Consultation, Inc.
• Haylee Crowder, RBT
• Haley Cunningham, RBT
• Kimberly Elizabeth Cunningham, PHARMD
• Cville Dental LLC
• Cville Docs Inc

• Clinical Psychologist in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.