Adam G Crane, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071006159 Issued in IL

Practice address

1614 W Central Rd
Suite 105
Arlington HTS, IL 60005-2490

Phone

(847) 255-9697

Fax

(847) 255-3206

NPI assigned

Mar 27, 2006

Last updated

Apr 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suburban Surgical Care Specialists SCGroup PAC ID 7113992918, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IAEDBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Suburban Surgical Care Specialists, S.C.

  • Surgery Physician
  • Hoffman Estates, IL
  • NPI 1871613489
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1407816036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 W CENTRAL RD",
            "address_2": "SUITE 105",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052490",
            "telephone_number": "847-255-9697",
            "fax_number": "847-255-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 W CENTRAL RD",
            "address_2": "SUITE 105",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052490",
            "telephone_number": "847-255-9697",
            "fax_number": "847-255-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "ADAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071006159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071006159",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline J. Choi, MD
• Chong Ho Ahn MD SC
• Donna C. Claffey, M.S.W., L.C.S.W.
• Cornelia V. Tandez,MD,LTD
• Elisa Coronado, LPC
• Patricia Crawford, LCSW
• Daniel Czapek, D.M.D
• Alan Arthur Daar IV, D.O.
• Ashley P Dalton, PA-C
• David R. Baldare DDS LTD

• Psychologist in Arlington HTS, IL
• Providers in Arlington HTS, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.