Kelly L Crenshaw, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY60885078 Issued in WA

Practice address

12 Bellwether Way Ste 240
Bellingham, WA 98225-2959

Phone

(360) 588-2500

Fax

(360) 785-2016

NPI assigned

Feb 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cascade Neuropsychology, PLLCGroup PAC ID 2961767512, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cascade Neuropsychology, PLLC

  dba Cascade Neuropsychology

  • Clinical Neuropsychologist
  • Bellingham, WA
  • NPI 1871099937
  Medicare reassignment Care Compare group Authorized official
• Valley Roots Family Care PLLC

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1144693250

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1649694662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BELLWETHER WAY STE 240",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252959",
            "telephone_number": "360-588-2500",
            "fax_number": "360-785-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BELLWETHER WAY STE 240",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252959",
            "telephone_number": "360-588-2500",
            "fax_number": "360-785-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982734909",
            "country_code": "US",
            "telephone_number": "360-588-2500 x12",
            "fax_number": "360-785-2016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "PY60885078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "PY60885078",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Crawford
• Hannah Mae Belle Crawford, RN
• Sarah Elizabeth Crediford
• Melinda Creed, LCSW
• Marques Ray Creer
• Alexandra Cress, RDN, CD
• Gisele Lynn Cresswell
• Liana Crew
• Jonathan Wesley Crews, D.O.
• Christine Ann Cricchio, MSW

• Clinical Neuropsychologist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.