Individual provider Active NPI

Meghan Diane Crawford, PSY.D.

  • Psychologist
  • Gainesville, GA
National Provider Identifier
1457488603
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
004800 Issued in GA
Practice address
4850 Lost Creek Dr
Gainesville, GA 30504-9269
Phone
(626) 888-1463
Fax
(503) 974-0936
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2409 OR
Psychologist 103T00000X PSY24764 CA
Psychologist 103T00000X 004800 GA Primary

Addresses

Primary practice location

4850 Lost Creek Dr
Gainesville, GA 30504-9269

Mailing address

5200 Meadows Rd Ste 150
Lake Oswego, OR 97035-0066
Phone (626) 888-1463

Other practice location 1

5200 Meadows Rd Ste 150
Lake Oswego, OR 97035-0066
Phone (626) 888-1463

Other identifiers 1

IdentifierTypeStateIssuer
500721557MedicaidOR

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL cerbo Health Information Exchange (HIE)
Other URL Cerbo Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY24764CAMDPsychologist
004800GAMDPsychologist
2409ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Meghan Crawford, PSYD, LLC CurrentSince Jan 1, 2020 Accepting new patients
Andrea Davis, PH.D., Clinical Psychology, Inc. Psychologist Past Accepting new patients

Locations

5200 Meadows Rd
Ste 150
Lake Oswego, OR 97035
Phone (503) 351-0463

19300 Molalla Ave
Unit 515
Oregon City, OR 97045

702 John Adams St
Unit A
Oregon City, OR 97045

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1457488603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 MEADOWS RD STE 150",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350066",
            "telephone_number": "626-888-1463",
            "fax_number": "503-974-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 LOST CREEK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305049269",
            "telephone_number": "626-888-1463",
            "fax_number": "503-974-0936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Meadows Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970350066",
            "country_code": "US",
            "telephone_number": "626-888-1463",
            "fax_number": "503-974-0936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "MEGHAN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2409",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24764",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "004800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500721557",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cerbo",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5200 Meadows Rd Ste 150",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970350066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cerbo",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4850 Lost Creek Dr",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305049269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.