Active NPI
Gina Crawford, PH D
- Clinical Psychologist
- Bay Village, OH
National Provider Identifier
1548349285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6035
- Practice address
- 23818 Cliff Dr
Bay Village, OH 44140-2907 - Phone
- (440) 570-9653
- Fax
- (440) 874-6025
- NPI assigned
- Nov 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6035 | OH | Primary |
Addresses
Primary practice location
23818 Cliff Dr
Bay Village, OH 44140-2907
Mailing address
23818 Cliff Dr
Bay Village, OH 44140-2907
Phone (440) 570-9653
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6035 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548349285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23818 CLIFF DR",
"city": "BAY VILLAGE",
"state": "OH",
"postal_code": "441402907",
"telephone_number": "440-570-9653",
"fax_number": "440-874-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23818 CLIFF DR",
"city": "BAY VILLAGE",
"state": "OH",
"postal_code": "441402907",
"telephone_number": "440-570-9653",
"fax_number": "440-874-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "GINA",
"credential": "PH D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.