Individual provider Active NPI

Baron Crespo, PSY.D.

  • Psychologist
  • Temple, TX
National Provider Identifier
1598124331
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0000 Issued in TX
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3384-57WIMDPsychologist
2019ALMDRegistered 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.

Verify at the official NPI Registry.