Individual provider Active NPI

Maxine London Crossman, PSY.D.

  • Clinical Psychologist
  • Wellington, FL
National Provider Identifier
1578014890
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11865 Issued in FL
Practice address
9869 Woodworth CT
Wellington, FL 33414-6409
Phone
(516) 987-3752
NPI assigned
Oct 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 022570 NY
Clinical Psychologist 103TC0700X 11865 FL Primary

Addresses

Primary practice location

9869 Woodworth CT
Wellington, FL 33414-6409

Mailing address

9869 Woodworth CT
Wellington, FL 33414-6409

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
11865FLMDClinical Psychologist
022570NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crossman Psychology LLC Clinical CurrentSince Nov 24, 2024 Accepting new patients
Cognitive Therapy for Women Psychological Services PLLC Clinical Past Accepting new patients
Jeffrey Kassinove, Psychologist PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1578014890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9869 WOODWORTH CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9869 WOODWORTH CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146409",
            "telephone_number": "516-987-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSMAN",
        "first_name": "MAXINE",
        "middle_name": "LONDON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022570",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "11865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.