Eugene Ronald Craig, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301013955 Issued in MI

Practice address

300 Riverfront Dr
Suite 16 H
Detroit, MI 48226-4516

Phone

(313) 259-5939

NPI assigned

Aug 23, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1376859785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVERFRONT DR",
            "address_2": "SUITE 16 H",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264516",
            "telephone_number": "313-259-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIVERFRONT DR",
            "address_2": "SUITE 16 H",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264516",
            "telephone_number": "313-259-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "EUGENE",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013955",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "IN",
            "license": "20090246QA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Pearl Craig-Gersham
• Ajane Martice Craig
• Brian M. Craig, M.D.
• Bridgett Craig
• Devon R Craig, AU.D.
• John Robert Craig, MD
• Joseph G. Craig, M.D.
• Justin Michael Craig, MD, PHD
• Kelly Edwina Nicole Craig
• Stephen Andrew Craig, MD

• Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.