Individual provider Active NPI

Craig Joseph Alexander, PHD

  • Clinical Psychologist
  • Palm Coast, FL
National Provider Identifier
1174566855
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1408 Issued in AL
Practice address
17 Lakeside PL W
Palm Coast, FL 32137-3415
Phone
(775) 762-7008
NPI assigned
Jun 13, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 1408 AL
Psychologist 103T00000X
Group Psychotherapy Psychologist 103TP2701X 1408 AL
Addiction (Substance Use Disorder) Psychologist 103TA0400X 1408 AL
Health Psychologist 103TH0004X 1408 AL
Rehabilitation Psychologist 103TR0400X 1408 AL
Clinical Psychologist 103TC0700X 1408 AL Primary
Marriage & Family Therapist 106H00000X 1408 AL
Family Psychologist 103TF0000X 1408 AL

Addresses

Primary practice location

17 Lakeside PL W
Palm Coast, FL 32137-3415

Mailing address

17 Lakeside PL W
Palm Coast, FL 32137-3415
Phone (386) 585-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1408ALMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grayson and Associates PC Clinical PastSince Aug 1, 2008 Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1174566855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LAKESIDE PL W",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373415",
            "telephone_number": "386-585-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LAKESIDE PL W",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373415",
            "telephone_number": "775-762-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "CRAIG",
        "middle_name": "JOSEPH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "AL",
            "license": "1408",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "AL",
            "license": "1408",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "1408",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "AL",
            "license": "1408",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "AL",
            "license": "1408",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1408",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "1408",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "AL",
            "license": "1408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.