Active NPI
Michael Crenshaw
- School Psychologist
- West Milton, OH
National Provider Identifier
1245638055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- OH3151578
- Practice address
- 7610 Milton Potsdam Rd
West Milton, OH 45383-9602 - Phone
- (937) 884-7910
- Fax
- (937) 884-7911
- NPI assigned
- Dec 10, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | OH3151578 | OH | Primary |
Addresses
Primary practice location
7610 Milton Potsdam Rd
West Milton, OH 45383-9602
Mailing address
7610 Milton Potsdam Rd
West Milton, OH 45383-9602
Phone (937) 884-7910
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH3151578 | OH | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milton-Union Exempted Village | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- West Milton, OH
- NPI 1760627475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1245638055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 MILTON POTSDAM RD",
"city": "WEST MILTON",
"state": "OH",
"postal_code": "453839602",
"telephone_number": "937-884-7910",
"fax_number": "937-884-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 MILTON POTSDAM RD",
"city": "WEST MILTON",
"state": "OH",
"postal_code": "453839602",
"telephone_number": "937-884-7910",
"fax_number": "937-884-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRENSHAW",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "OH3151578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Milton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.