Active NPI
Jaclyn Lewis-Croswell, Psy D PLLC
- Clinical Psychologist
- Tampa, FL
National Provider Identifier
1609530831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- JACLYN LEWIS-CROSWELL, PSY D PLLC
- Practice address
- 13357 N 56TH St
Tampa, FL 33617-1161 - Phone
- (813) 679-6300
- NPI assigned
- Oct 25, 2021
- Last updated
- Jan 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jaclyn Lee Lewis-Croswell, PSY.D.
- Title
- Ceo
- Phone
- (813) 679-6300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
13357 N 56TH St
Tampa, FL 33617-1161
Mailing address
2307 Nesslewood Dr
Wesley Chapel, FL 33543-5119
Phone (813) 679-6300
Other practice location 1
2307 Nesslewood Dr
Wesley Chapel, FL 33543-5119
Phone (813) 679-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychologist
- Tampa, FL
- NPI 1649418948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641945600000",
"number": "1609530831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 NESSLEWOOD DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335435119",
"telephone_number": "813-679-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13357 N 56TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171161",
"telephone_number": "813-679-6300"
}
],
"practiceLocations": [
{
"address_1": "2307 Nesslewood Dr",
"address_purpose": "LOCATION",
"city": "Wesley Chapel",
"state": "FL",
"postal_code": "335435119",
"country_code": "US",
"telephone_number": "813-679-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JACLYN LEWIS-CROSWELL, PSY D PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-25",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A",
"authorized_official_last_name": "LEWIS-CROSWELL",
"authorized_official_first_name": "JACLYN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-679-6300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.