Individual provider Active NPI

Celeste A Crotty, PSY.D.,

  • Psychologist
  • Washington, DC
National Provider Identifier
1740513712
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810003521 Issued in VA
Practice address
821 Delaware Ave SW Unit a
Washington, DC 20024-4207
Phone
(571) 276-3113
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X
Family Psychologist 103TF0000X
Psychologist 103T00000X 0810003521 VA Primary

Addresses

Primary practice location

821 Delaware Ave SW Unit a
Washington, DC 20024-4207

Mailing address

739 Cherry Hill Rd
Heathsville, VA 22473-2648
Phone (571) 276-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810003521VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connected Psychological Services Inc Psychologist CurrentSince Jun 28, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1740513712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 CHERRY HILL RD",
            "city": "HEATHSVILLE",
            "state": "VA",
            "postal_code": "224732648",
            "telephone_number": "571-276-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 DELAWARE AVE SW UNIT A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200244207",
            "telephone_number": "571-276-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTTY",
        "first_name": "CELESTE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810003521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.