Organization Active NPI

Yael Crawford PHD Inc

  • Clinical Child & Adolescent Psychologist
  • Beachwood, OH
National Provider Identifier
1477629897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
1894 Issued in OH
Legal business name
YAEL CRAWFORD PHD INC
Practice address
21625 Chagrin Blvd
Ste 200
Beachwood, OH 44122
Phone
(216) 491-3844
Fax
(216) 491-0155
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yael T Crawford, PHD
Title
Owner of Professional Corporation
Phone
(216) 491-3844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 1894 OH Primary

Addresses

Primary practice location

21625 Chagrin Blvd
Ste 200
Beachwood, OH 44122

Mailing address

21625 Chagrin Blvd
Ste 200
Beachwood, OH 44122
Phone (216) 491-3844

Other identifiers 1

IdentifierTypeStateIssuer
0408204MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477629897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21625 CHAGRIN BLVD",
            "address_2": "STE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-491-3844",
            "fax_number": "216-491-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21625 CHAGRIN BLVD",
            "address_2": "STE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-491-3844",
            "fax_number": "216-491-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAEL CRAWFORD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "YAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER OF PROFESSIONAL CORPORATION",
        "authorized_official_telephone_number": "216-491-3844",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408204",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.