Anthony Warren Craghead, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5107 Issued in NC

Practice address

1923 J N Pease PL Ste 204
Charlotte, NC 28262-4535

Phone

(704) 503-3535

Fax

(704) 593-5555

NPI assigned

May 22, 2017

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

Medicare fee-for-service enrollment

Enrolled in NC

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychological Services of CharlotteGroup PAC ID 8921014499, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Psychological Services of Charlotte

  • Psychologist
  • Charlotte, NC
  • NPI 1295768943
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1417484445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 J M KEYNES DR UNIT 7",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628452",
            "telephone_number": "704-763-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 J N PEASE PL STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624535",
            "telephone_number": "704-503-3535",
            "fax_number": "704-593-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAGHEAD",
        "first_name": "ANTHONY",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Amanda Crabbe
• Susan Crace
• Jayla Craddock
• Stanley Wayne Craddock, LAT
• Crafts & Arts Therapeutic Services Inc.
• Craig Counseling, PLLC
• Ashleigh Craig
• Chely Craig, MSW, LCSWA
• Destiny Bell Craig
• Jennifer Leslie Craig

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.