Active NPI
Sandra L Crump, PHD
- Psychologist
- Boston, MA
National Provider Identifier
1619952025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4211
- Practice address
- 50 Staniford Street
4TH Floor
Boston, MA 02114 - Phone
- (617) 726-4400
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- 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 | 4211 | MA | Primary |
Addresses
Primary practice location
50 Staniford Street
4TH Floor
Boston, MA 02114
Mailing address
PO Box 9142
Charlestown, MA 02129-9142
Phone (617) 724-0287
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 719075 | Other | MA | TUFTS HEALTH PLAN |
| 0500101 | Medicaid | MA |
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 |
|---|---|---|---|
| 4211 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Wound Recovery - Boston, LLC | Past | Accepting new patients | |
| Boston Neurobehavioral Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Waltham, MA
- NPI 1316958150
-
- Psychiatry Physician
- New Bedford, MA
- NPI 1558415307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619952025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9142",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021299142",
"telephone_number": "617-724-0287",
"fax_number": "617-726-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 STANIFORD STREET",
"address_2": "4TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMP",
"first_name": "SANDRA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "719075",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0500101",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.