Gabriel Crenshaw Jr., PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32451 Issued in CA

Practice address

401 Wilshire Blvd PH Suite
Santa Monica, CA 90401-1416

Phone

(310) 496-4277

NPI assigned

Jun 29, 2021

Sex

Male

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1679143945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WILSHIRE BLVD PH SUITE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011416",
            "telephone_number": "310-251-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WILSHIRE BLVD PH SUITE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011416",
            "telephone_number": "310-496-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "401 Wilshire Blvd Ph Suite",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904011416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Crandall, M.D.
• Jessica Crane
• Daejon Damar Crawford
• Elizabeth Ann Cray, NP
• Create Cures Foundation
• Christopher Aaron Criswell, M.A.
• Francis M Crnkovich, MD
• Catherine Croft, RBT
• Kari Elizabeth Croft
• Lauren Elizabeth Cromer, MA AMFT APCC

• Clinical Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.