Alicia Cramer

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

10253153 Issued in IN

Practice address

1402 S Main St
Mishawaka, IN 46544-5297

Phone

(574) 254-4526

NPI assigned

Aug 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alicia Romine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Penn Harris Madison School Corporation

  • Local Education Agency (LEA)
  • Mishawaka, IN
  • NPI 1558494708
  NPD (past)
• School City of Mishawaka

  • Local Education Agency (LEA)
  • Mishawaka, IN
  • NPI 1497888739
  NPD (past)

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1689408718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51143 OAK LINED DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307531",
            "telephone_number": "574-299-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S MAIN ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465445297",
            "telephone_number": "574-254-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10253153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "ROMINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma Covington
• Jaidyn Cowan
• Keegan Michalak Cox
• Michelle Elizaebth Cox
• Morgan Craft, LCSW
• Kayley Crandall
• Kari Rene Crawford, AUD
• Nicole Crawford
• Pailei Cripe
• Christopher Crum, PTA

• School Psychologist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• School Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.