Active NPI
Meghan Diane Crawford, PSY.D.
- Psychologist
- Gainesville, GA
National Provider Identifier
1457488603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 004800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500721557 | Medicaid | OR |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24764 | CA | MD | Psychologist |
| 004800 | GA | MD | Psychologist |
| 2409 | OR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meghan Crawford, PSYD, LLC | Current | 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.
-
- Clinical Psychologist
- Gainesville, GA
- NPI 1568001915
-
- Clinical Psychologist
- Pasadena, CA
- NPI 1407159619
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.