Douglas E. Craig, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-357 Issued in ID

Practice address

3670 S 25TH E
#2
Idaho Falls, ID 83404-4956

Phone

(208) 201-6124

NPI assigned

Jul 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Psychology Center of Idaho Falls

  • Clinical Neuropsychologist
  • Idaho Falls, ID
  • NPI 1780010090
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1336378447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 S 25TH E",
            "address_2": "#2",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044956",
            "telephone_number": "208-201-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 S 25TH E",
            "address_2": "#2",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044956",
            "telephone_number": "208-201-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "DOUGLAS",
        "middle_name": "E.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY-357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dawn Cox, NP
• Craig D Scoville, MD, PC
• Craig Darrington DDS PLLC
• Craig J Denny MD Prof Corp
• Craig J Denny MD Prof Corp
• Tina Crain
• Craniospinal Institute PLLC
• Sherrie Beth Crawford, LMSW
• Kalin Joseph Craynor
• CRC Anesthesia PLLC

• Psychologist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.