Organization Active NPI

Dr. Crawford & Associates Psychological Services

  • Health Service Clinic/Center
  • Ontario, CA
National Provider Identifier
1558965244
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DR. CRAWFORD & ASSOCIATES PSYCHOLOGICAL SERVICES
Practice address
3350 Shelby St Ste 200
Ontario, CA 91764-5556
Phone
(909) 935-2385
Fax
(909) 935-2685
NPI assigned
Nov 24, 2020
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Gregory Crawford, PSY.D.NPI 1427310937
Title
Clinical Psychologist
Phone
(909) 935-2385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3350 Shelby St Ste 200
Ontario, CA 91764-5556

Mailing address

6371 Haven Ave Ste 3
#173
Rancho Cucamonga, CA 91737-6943

Other practice location 1

6371 Haven Ave Ste 3
#173
Rancho Cucamonga, CA 91737-6943
Phone (909) 527-4485

Other identifiers 1

IdentifierTypeStateIssuer
1427310937MedicaidCA

National Provider Directory

National Provider Directory

Locations

3350 Shelby St
Ste 200
Ontario, CA 91764
Phone (818) 208-0164

6371 Haven Ave
Ste 3
Rancho Cucamonga, CA 91737
Phone (909) 527-4485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1558965244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6371 HAVEN AVE STE 3",
            "address_2": "#173",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917376943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SHELBY ST STE 200",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645556",
            "telephone_number": "909-935-2385",
            "fax_number": "909-935-2685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6371 Haven Ave Ste 3",
            "address_2": "#173",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917376943",
            "country_code": "US",
            "telephone_number": "909-527-4485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. CRAWFORD & ASSOCIATES PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "909-935-2385",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427310937",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.