Melissa C. Crookshank MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD437211 Issued in PA

Legal business name

MELISSA C. CROOKSHANK MD LLC

Practice address

829 Spruce St
Suite 302
Philadelphia, PA 19107-5752

Phone

(215) 829-5611

NPI assigned

Sep 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Catherine Crookshank, M.D.NPI 1558522490

Title

Owner

Phone

(215) 829-5611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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

• Melissa Catherine Crookshank, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1558522490
  Medicare reassignment NPD Authorized official
• Marc Robert Inver, MD

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1750507059
  NPD (past)
• Roger Eliot Weiss, MD

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1861618621
  NPD (past)

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1700193307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 LINCOLN HWY",
            "address_2": "SUITE 7",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190301410",
            "telephone_number": "215-295-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 SPRUCE ST",
            "address_2": "SUITE 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075752",
            "telephone_number": "215-829-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA C. CROOKSHANK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "CROOKSHANK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-829-5611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD437211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Melhem, MD
• Judith E. Melick, M.D.
• Maris Danielle Melino
• Athanasios Oliver Melisiotis, MD
• Danielle Nicole Melisiotis, DO
• Melissa Dessereau LLC
• Artsiom Meliukh, MD
• Belkis Mella, MA
• Fracisco Mella, MA
• Sai Priyanka Mellacheruvu

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.