Individual provider Active NPI

Pamela J. McCrory, PH.D.

  • Psychologist
  • Calabasas, CA
National Provider Identifier
1437215266
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 12094 Issued in CA
Practice address
5000 Parkway Calabasas
Suite 103
Calabasas, CA 91302-1400
Phone
(818) 999-4126
Fax
(818) 591-2089
NPI assigned
Dec 28, 2006
Last updated
Mar 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 12094 CA Primary

Addresses

Primary practice location

5000 Parkway Calabasas
Suite 103
Calabasas, CA 91302-1400

Mailing address

5000 Parkway Calabasas
Suite 103
Calabasas, CA 91302-1400
Phone (818) 999-4126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 1, 2013 through Jun 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 12094CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1437215266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARKWAY CALABASAS",
            "address_2": "SUITE 103",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021400",
            "telephone_number": "818-999-4126",
            "fax_number": "818-591-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PARKWAY CALABASAS",
            "address_2": "SUITE 103",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021400",
            "telephone_number": "818-999-4126",
            "fax_number": "818-591-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRORY",
        "first_name": "PAMELA",
        "middle_name": "J.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 12094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.