Active NPI
Dennis Clare Crawford, MA
- Addiction (Substance Use Disorder) Psychologist
- Detroit, MI
National Provider Identifier
1518150549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- 6301011134
- Practice address
- 10 Peterboro St
Detroit, MI 48201-2722 - Phone
- (734) 507-1120
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 6301011134 | MI | Primary |
Addresses
Primary practice location
10 Peterboro St
Detroit, MI 48201-2722
Mailing address
10 Peterboro St
Detroit, MI 48201-2722
Phone (734) 507-1120
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011134 | MI | MD | Addiction (Substance Use Disorder) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1518150549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PETERBORO ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012722",
"telephone_number": "734-507-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PETERBORO ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012722",
"telephone_number": "734-507-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "DENNIS",
"middle_name": "CLARE",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6301011134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.