Active NPI
Joan Gregg Cronise, PH.D.
- Psychologist
- Doylestown, PA
National Provider Identifier
1710177407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-005755-L
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CR649915 | Other | PA | MEDICARE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS-005755-L | PA | MD | Psychologist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.