Crutchfield Counseling Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5217 Issued in FL

Legal business name

CRUTCHFIELD COUNSELING INC

Practice address

1613 Main St
Dunedin, FL 34698-4759

Phone

(727) 736-3132

Fax

(727) 736-3052

NPI assigned

Sep 20, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gloria P Crutchfield, PHDNPI 1518073188

Title

President/Psychologist

Phone

(727) 736-3132

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jim Crutchfield, LCSW

  • Clinical Social Worker
  • Dunedin, FL
  • NPI 1003904475
  Medicare reassignment NPD
• Gloria Pinzon Crutchfield, PH.D.

  • Clinical Psychologist
  • Dunedin, FL
  • NPI 1518073188
  Authorized official Same address or phone

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1194911313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346950605",
            "telephone_number": "727-736-3132",
            "fax_number": "727-736-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 MAIN ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984759",
            "telephone_number": "727-736-3132",
            "fax_number": "727-736-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUTCHFIELD COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CRUTCHFIELD",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "727-736-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5217",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Correia
• Countryside Pharmacy (Shields Pharmacy)
• Natalie Jeanne Cox, M.S., CCC-SLP
• Corinna Cromartie
• Cross Terrace Rehab (Cross Terrace Rehabilitation Center)
• Crutchfield Psychology Inc
• Gloria Pinzon Crutchfield, PH.D.
• Jim Crutchfield, LCSW
• Galatea Aisha Cruz
• Clarissa Star Crystal-Belle, LMHC

• Clinical Psychologist in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.