Individual provider Active NPI

Kristin D Crocfer, PSYD

  • Clinical Neuropsychologist
  • Phoenix, AZ
National Provider Identifier
1316433261
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY-004996 Issued in AZ
Practice address
10211 N 32ND St
Phoenix, AZ 85028-3828
Phone
(855) 772-8847
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY-004996 AZ Primary
Psychologist 103T00000X PSY-004996 AZ

Addresses

Primary practice location

10211 N 32ND St
Phoenix, AZ 85028-3828

Mailing address

14362 N Frank Lloyd Wright Blvd Ste 1000
Scottsdale, AZ 85260-8847
Phone (480) 485-7106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180919001735 AZ Practitioner - Clinical Psychologist 7810248515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-004996AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Neuropsychology of the Valley Clinical Neuropsychologist Current Accepting new patients
Phoenix Children'S Hospital Current Accepting new patients
Phoenix Children'S Medical Group CurrentSince Sep 1, 2018 Accepting new patients

Locations

3420 S Mercy Rd
Ste 113
Gilbert, AZ 85297
Phone (480) 219-3346

3370 S Mercy Rd
Ste 218
Gilbert, AZ 85297
Phone (602) 933-0990

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

14362 N Frank Lloyd Wright Blvd
Ste 1000
Scottsdale, AZ 85260
Phone (480) 948-6222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1316433261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14362 N FRANK LLOYD WRIGHT BLVD STE 1000",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608847",
            "telephone_number": "480-485-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283828",
            "telephone_number": "855-772-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCFER",
        "first_name": "KRISTIN",
        "middle_name": "D",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "PSY-004996",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PSY-004996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.