Active NPI
Dorian Crawford, LICENSED CLINICAL PS
- Clinical Psychologist
- Beverly, MA
National Provider Identifier
1558694307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10167
- Practice address
- 100 Cummings Ctr Ste 365D
Beverly, MA 01915-6261 - Phone
- (978) 338-4288
- NPI assigned
- Sep 11, 2009
- Last updated
- Mar 15, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC 6102 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 6102 | MA | |
| Clinical Psychologist | 103TC0700X | 10167 | MA | Primary |
Addresses
Primary practice location
100 Cummings Ctr Ste 365D
Beverly, MA 01915-6261
Mailing address
100 Cummings Ctr Ste 365D
Beverly, MA 01915-6261
Phone (978) 338-4288
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC 6102 | MA | MD | Mental Health Counselor |
| 10167 | MA | MD | Dentist |
| 6102 | MA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1558694307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 365D",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156261",
"telephone_number": "978-338-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 365D",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156261",
"telephone_number": "978-338-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "DORIAN",
"credential": "LICENSED CLINICAL PS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "LMHC 6102",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "6102",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.