Michael Craytor, PSYD, LPC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

210447 Issued in AK

Practice address

234 Fourth Ave Ste 107
Seward, AK 99664-4210

Phone

(907) 422-0606

NPI assigned

Jan 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael J. Craytor, LPC

  • Adult Mental Health Clinic/Center
  • Seward, AK
  • NPI 1275279127
  NPD Authorized official
• Ptarmigan Connections, LLC

  • Pediatrics Physician
  • Wasilla, AK
  • NPI 1164942314

  Professional

  NPD (past)

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1770905424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1873",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996641873",
            "telephone_number": "907-422-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 FOURTH AVE STE 107",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996644210",
            "telephone_number": "907-422-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAYTOR",
        "first_name": "MICHAEL",
        "credential": "PSYD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-15",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "114233",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AK",
            "license": "210447",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AK",
            "license": "210447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Collins
• Colleen Maria Collins, MD
• Mario J Concepcion
• Michael Conwill
• Rachel Louise Costin
• Julie Brooks Crites, NP
• Jill Stanton Cross, LCSW
• Tykan Daly
• Florence Davis
• Autumn Dell

• Psychologist in Seward, AK
• Providers in Seward, AK by specialty
• Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.