Elba Iris Crespo, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

002555 Issued in CT

Practice address

1506 Post Rd
Fairfield, CT 06824-5916

Phone

(203) 685-6486

NPI assigned

Jan 25, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in CT

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, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Preventative Healthcare Solutions LLCGroup PAC ID 3375844566, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Preventative Healthcare Solutions LLC

  • Family Nurse Practitioner
  • Bridgeport, CT
  • NPI 1528434115

  Psychologist

  Medicare reassignment Care Compare group NPD
• Park City Home Care

  • Home Health Agency
  • Bridgeport, CT
  • NPI 1033988316
  NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1669528774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HIGH PARK AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155642",
            "telephone_number": "036-856-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245916",
            "telephone_number": "203-685-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "ELBA",
        "middle_name": "IRIS",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "330606",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "060002555CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Counseling & Family Therapy Center
• John R Cox, DPT
• Brittany Craiglow, MD
• Andrew Nicholas Crape, D.C.
• Abigail Crescitelli, MS, LAT, ATC
• Roselle Eisma Crombie, M.D./M.P.H
• Sean Cronan, PT, DPT
• Cara Lena Crook, PHD
• Jennifer E Crowley, LCSW
• CT Ya Services LLC

• Psychologist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.