Cathy J Crandell, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

878-057 Issued in WI

Practice address

1428 N Farwell Ave
Suite 210
Milwaukee, WI 53202-2904

Phone

(414) 271-5577

Fax

(414) 271-6667

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Behavioral Consultants, Inc.

  • Forensic Psychologist
  • Milwaukee, WI
  • NPI 1457408403

  Clinical

  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194800490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 N FARWELL AVE",
            "address_2": "SUITE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022904",
            "telephone_number": "414-271-5577",
            "fax_number": "414-271-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 N FARWELL AVE",
            "address_2": "SUITE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022904",
            "telephone_number": "414-271-5577",
            "fax_number": "414-271-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDELL",
        "first_name": "CATHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "878-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39023600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Cramer, APNP
• Kelsey Cramer, AGACNP
• Michelle Leigh Cramer, CCC-SLP
• Brianna Louise Crandall
• Lisa A Crandall, APNP
• Jeffrey Louis Crane, PHARMD
• Michelle Crane, D.O.
• Olivia Crane, L.AC.
• Cranial Technologies Inc.
• Julia Cranston, RN

• Clinical Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Psychologist in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.