Active NPI
Lisa E Crandell, PH.D.
- Clinical Psychologist
- Hockessin, DE
National Provider Identifier
1760030860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- B2-0000392
- Practice address
- 710 Yorklyn Rd Ste 100
Hockessin, DE 19707-8748 - Phone
- (302) 239-5255
- NPI assigned
- Sep 1, 2019
- Last updated
- Sep 1, 2019
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | B2-0000392 | DE | Primary |
Addresses
Primary practice location
710 Yorklyn Rd Ste 100
Hockessin, DE 19707-8748
Mailing address
710 Yorklyn Rd Ste 100
Hockessin, DE 19707-8748
Phone (302) 239-5255
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B2-0000392 | DE | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567296000000",
"number": "1760030860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 YORKLYN RD STE 100",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197078748",
"telephone_number": "302-239-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 YORKLYN RD STE 100",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197078748",
"telephone_number": "302-239-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDELL",
"first_name": "LISA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-01",
"last_updated": "2019-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DE",
"license": "B2-0000392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hockessin, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.