Individual provider Active NPI

Joan Gregg Cronise, PH.D.

  • Psychologist
  • Doylestown, PA
National Provider Identifier
1710177407
Registry record updated Jul 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-005755-L Issued in PA
Practice address
62 N Church St
Doylestown, PA 18901-4397
Phone
(215) 348-2118
Fax
(215) 348-2118
NPI assigned
Jul 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-005755-L PA Primary

Addresses

Primary practice location

62 N Church St
Doylestown, PA 18901-4397

Mailing address

62 N Church St
Doylestown, PA 18901-4397
Phone (215) 348-2118

Other identifiers 1

IdentifierTypeStateIssuer
CR649915OtherPAMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029001203 PA Practitioner - Clinical Psychologist 0345434775 Practice locations: Doylestown, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

62 N Church St
Doylestown, PA 18901-4397
Phone (215) 348-2118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS-005755-LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185580800000",
    "number": "1710177407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 N CHURCH ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014397",
            "telephone_number": "215-348-2118",
            "fax_number": "215-348-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 N CHURCH ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014397",
            "telephone_number": "215-348-2118",
            "fax_number": "215-348-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONISE",
        "first_name": "JOAN",
        "middle_name": "GREGG",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2007-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-005755-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "CR649915",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.