Active NPI
Baron Crespo, PSY.D.
- Psychologist
- Temple, TX
National Provider Identifier
1598124331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0000
- Practice address
- 463 Westfield Blvd
Temple, TX 76502-5318 - Phone
- (855) 779-2499
- Fax
- (855) 779-2499
- NPI assigned
- Feb 22, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3384-57 | WI | |
| Psychologist | 103T00000X | 2019 | AL | |
| Psychologist | 103T00000X | 0000 | TX | Primary |
Addresses
Primary practice location
463 Westfield Blvd
Temple, TX 76502-5318
Mailing address
463 Westfield Blvd Apt 121
Temple, TX 76502-5319
Phone (855) 779-2499
Other practice location 1
5715 Highway 85 N # 307
#307
Crestview, FL 32536-9003
Phone (855) 779-2499
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3384-57 | WI | MD | Psychologist |
| 2019 | AL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1598124331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 WESTFIELD BLVD APT 121",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765025319",
"telephone_number": "855-779-2499",
"fax_number": "855-779-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 WESTFIELD BLVD",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765025318",
"telephone_number": "855-779-2499",
"fax_number": "855-779-2499"
}
],
"practiceLocations": [
{
"address_1": "5715 Highway 85 N # 307",
"address_2": "#307",
"address_purpose": "LOCATION",
"city": "Crestview",
"state": "FL",
"postal_code": "325369003",
"country_code": "US",
"telephone_number": "855-779-2499",
"fax_number": "855-779-2499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRESPO",
"first_name": "BARON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "3384-57",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "2019",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "0000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.