Individual provider Active NPI

Erik Craig, PSYCHOLOGIST

  • Psychologist
  • Santa Fe, NM
National Provider Identifier
1538487590
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
532 Issued in NM
Practice address
113 Camino Escondido
#3
Santa Fe, NM 87501-2761
Phone
(505) 995-9955
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
Yes

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
3270MAMDChiropractor
532NMMDOptometrist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 532 NM Primary
Health Service Psychologist 103TH0100X 3270 MA

Addresses

NPPES NPI Registry

Primary practice location

113 Camino Escondido
#3
Santa Fe, NM 87501-2761

Mailing address

113 Camino Escondido
#3
Santa Fe, NM 87501-2761
Phone (505) 995-9955

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2010.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1538487590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CAMINO ESCONDIDO",
            "address_2": "#3",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012761",
            "telephone_number": "505-995-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CAMINO ESCONDIDO",
            "address_2": "#3",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012761",
            "telephone_number": "505-995-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "532",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "3270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.