Anthony M. McCrovitz, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20043441A Issued in IN

Practice address

621 Broadway
Chesterton, IN 46304-2259

Phone

(219) 921-5492

Fax

(219) 921-0143

NPI assigned

Feb 15, 2011

Last updated

Feb 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quality of Life Institute, Inc

  • Psychologist
  • Chesterton, IN
  • NPI 1528959491
  NPD Authorized official
• Globe Star, LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Chesterton, IN
  • NPI 1912922550
  Authorized official Same address or phone
• Globe Star, LLC

  • Occupational Therapist
  • South Bend, IN
  • NPI 1952840183
  Authorized official Same address or phone

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1740587559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 CATKIN CIRCLE",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "46304",
            "telephone_number": "219-771-2940",
            "fax_number": "219-921-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 BROADWAY",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042259",
            "telephone_number": "219-921-5492",
            "fax_number": "219-921-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCROVITZ",
        "first_name": "ANTHONY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-15",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002197A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043441A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100110700",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniela Matijevich, DPM,MS
• Ashley Catherine Matthews
• Nichole Marie Matuszak, DPT
• Alexandra Demetria McBurnie, OD
• Nathan Daniel McCormack, PT, DPT
• Alicia McDaniel, APRN
• Marlee Y McGrath
• Natalie Celeste McGrogan, RBT
• Brian Christopher McGue, DDS
• Christopher Robert McGue, DMD

• Psychologist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.