Individual provider Active NPI

Beth Lee Crawford, PSY.D.

  • Clinical Psychologist
  • Silver Spring, MD
National Provider Identifier
1629233812
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04154 Issued in MD
Practice address
8607 Second Avenue
Suite 506-a
Silver Spring, MD 20910
Phone
(301) 589-5533
Fax
(301) 589-2838
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 04154 MD Primary
Clinical Psychologist 103TC0700X PSY1000435 DC

Addresses

Primary practice location

8607 Second Avenue
Suite 506-a
Silver Spring, MD 20910

Mailing address

944 Eastern Ave NE
Condo #8
Washington, DC 20019-7074
Phone (202) 549-4389

Other names 1

  • Beth Janel Lee Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY1000435DCMDClinical Psychologist
04154MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Family Resource, Inc. Current Accepting new patients
Maryland Family Resource, Inc Current Accepting new patients

Locations

903 Brightseat Rd
Landover, MD 20785
Phone (301) 333-2980

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1629233812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 EASTERN AVE NE",
            "address_2": "CONDO #8",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200197074",
            "telephone_number": "202-549-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 SECOND AVENUE",
            "address_2": "SUITE 506-A",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "301-589-5533",
            "fax_number": "301-589-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "BETH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04154",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "LEE",
            "middle_name": "JANEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.