Active NPI
Edward George Crosby, PHD
- Psychologist
- Coal Township, PA
National Provider Identifier
1609017540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS016187
- Practice address
- 1 Kelley Dr
1 Kelley Drive
Coal Township, PA 17866-1020 - Phone
- (570) 644-7890
- NPI assigned
- Mar 23, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS016187 | PA | Primary |
Addresses
Primary practice location
1 Kelley Dr
1 Kelley Drive
Coal Township, PA 17866-1020
Mailing address
Sci Coal Township
1 Kelley Dr
Coal Township, PA 17866-1020
Phone (570) 644-7890
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016187 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1609017540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SCI COAL TOWNSHIP",
"address_2": "1 KELLEY DR",
"city": "COAL TOWNSHIP",
"state": "PA",
"postal_code": "178661020",
"telephone_number": "570-644-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KELLEY DR",
"address_2": "1 KELLEY DRIVE",
"city": "COAL TOWNSHIP",
"state": "PA",
"postal_code": "178661020",
"telephone_number": "570-644-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSBY",
"first_name": "EDWARD",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-23",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS016187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coal Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.