Traci Crabb, Psy.D., PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PSY-202233 Issued in ID

Legal business name

TRACI CRABB, PSY.D., PLLC

Practice address

3775 N Eagle Rd
Boise, ID 83713-5005

Phone

(208) 938-9653

Fax

(208) 938-1399

NPI assigned

Mar 1, 2013

Organization subpart

No

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

Authorized official

Name

Traci Crabb, PSY.D.NPI 1336157452

Title

Manager

Phone

(208) 867-0561

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Traci Crabb, PSY.D.

  • Clinical Psychologist
  • Boise, ID
  • NPI 1336157452
  NPD (past) Authorized official

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1699015511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135005",
            "telephone_number": "208-938-9653",
            "fax_number": "208-938-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135005",
            "telephone_number": "208-938-9653",
            "fax_number": "208-938-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACI CRABB, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "CRABB",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-867-0561",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "PSY-202233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town Portal LLC
• Town Square Dental Partners, PLLC
• Bradley Lynn Townsend, DDS
• Ryan G Townsend, D.O.
• Kluane Tawn Tozier, LM, CPM
• Ian David Tracy, DPT
• Jenabella D Tracy
• Tanner Tracy, PHARMD
• Trailhead Counseling and Grief Services LLC
• Trailhead Therapy LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.