Active NPI
Yolanda M Crooms
- Psychologist
- Centerville, OH
National Provider Identifier
1215355466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 9086 Payne Farm LN
Centerville, OH 45458-9677 - Phone
- (937) 350-5074
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | OH | Primary |
Addresses
Primary practice location
9086 Payne Farm LN
Centerville, OH 45458-9677
Mailing address
9086 Payne Farm LN
Centerville, OH 45458-9677
Phone (937) 350-5074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1215355466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9086 PAYNE FARM LN",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454589677",
"telephone_number": "937-350-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9086 PAYNE FARM LN",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454589677",
"telephone_number": "937-350-5074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOMS",
"first_name": "YOLANDA",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.