Active NPI
Joyce G Crouch, PSYCHOLOGIST
- Psychologist
- Jamestown, TN
National Provider Identifier
1679649305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P0000001434
- Practice address
- 205 South Main Street
Jamestown, TN 38556 - Phone
- (931) 879-4725
- Fax
- (931) 879-8586
- NPI assigned
- Nov 27, 2006
- Last updated
- Jul 8, 2007
- 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 | P0000001434 | TN | Primary |
Addresses
Primary practice location
205 South Main Street
Jamestown, TN 38556
Mailing address
PO Box 327
Allardt, TN 38504
Phone (931) 879-4725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0132634 | Other | TN | BLUE CROSS |
| 3683864 | Medicaid | TN |
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 |
|---|---|---|---|
| P0000001434 | TN | MD | Psychologist |
| 1434 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hall Family Pharmacy Inc | Past | Accepting new patients | |
| Hall Family Pharmacy Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hall Family Pharmacy
- Community/Retail Pharmacy
- Jamestown, TN
- NPI 1053735217
-
dba Hall Family Pharmacy at Clarkrange
- Community/Retail Pharmacy
- Clarkrange, TN
- NPI 1558734186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679649305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 327",
"city": "ALLARDT",
"state": "TN",
"postal_code": "38504",
"telephone_number": "931-879-4725",
"fax_number": "931-879-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SOUTH MAIN STREET",
"city": "JAMESTOWN",
"state": "TN",
"postal_code": "38556",
"telephone_number": "931-879-4725",
"fax_number": "931-879-8586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "JOYCE",
"middle_name": "G",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "P0000001434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0132634",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3683864",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.