Carol S McCrea, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37LC00037200 Issued in NJ

Practice address

27 Mountain Blvd.
Suite 10
Warren, NJ 07059-2411

Phone

(908) 704-0770

Fax

(908) 279-7948

NPI assigned

Nov 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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, 1996

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carol S. McCrea, PH.D., PA

  • Clinical Psychologist
  • Warren, NJ
  • NPI 1447393392
  Authorized official Same address or phone
• Gamma-Electron Radiation Oncology Associates

  • Radiation Oncology Physician
  • Summit, NJ
  • NPI 1346249174
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1497935068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MOUNTAIN BLVD.",
            "address_2": "SUITE 10",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592411",
            "telephone_number": "908-704-0770",
            "fax_number": "908-279-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MOUNTAIN BLVD.",
            "address_2": "SUITE 10",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592411",
            "telephone_number": "908-704-0770",
            "fax_number": "908-279-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREA",
        "first_name": "CAROL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI003722",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00372200",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "37LC00037200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Marcazo
• Dayna Marquina
• Kevin John Massarelli, D.M.D.
• Brian Matfus, DC
• Megan C McCarthy, ACAGNP-BC
• Lindsay Rae McMahon
• Monica Mekhail
• Craig L Menker, DMD, CAGS
• Metabolic Wellness and Longevity Institute LLC
• Priscilla Miguez, D.O

• Clinical Psychologist in Warren, NJ
• Providers in Warren, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.