Martha Crotts

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

036-088318 Issued in IL

Practice address

5758 Elaine Dr
Rockford, IL 61108-3102

Phone

(815) 395-1008

NPI assigned

Mar 5, 2007

Last updated

Jun 1, 2020By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Great Lakes Neuropsychology & Counseling LLC

  • Clinical Psychologist
  • Rockford, IL
  • NPI 1013030725
  NPD (past)
• Rockford Health Physicians

  dba Mercyhealth Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1174652457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 N RAVENSWOOD AVE",
            "address_2": "STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 ELAINE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083102",
            "telephone_number": "815-395-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTTS",
        "first_name": "MARTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036-088318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creek Counseling
• David J Creek, LMFT
• Christine Criel
• Marie Elizabeth Cristoforo, M.S. CF-SLP
• Crossroads Home Health, Inc. (Visiting Angels of Rockford)
• Melissa Crowell, LCSW
• Jason Croxford, DC
• Donald W Cruden, O.D.
• Leah A Crull, OTR/L, CHT
• Christina Marie Crum, PA-C

• Child & Adolescent Psychiatry Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.