Active NPI
John Michael Crabtree, PHD
- Psychologist
- Washington, PA
National Provider Identifier
1780614958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS004504L
- Practice address
- 87 E Maiden St
Suite 38
Washington, PA 15301 - Phone
- (724) 222-8525
- Fax
- (724) 222-8545
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PS004504L | PA | Primary |
Addresses
Primary practice location
87 E Maiden St
Suite 38
Washington, PA 15301
Mailing address
87 E Maiden St
Suite 38
Washington, PA 15301
Phone (724) 222-8525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199845 | Other | PA | HIGHMARK |
| 152912 | Other | PA | VALUE OPTIONS |
Other names 1
- Dr. Michael Crabtree
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 |
|---|---|---|---|---|
| I20110310000434 | PA | Practitioner - Clinical Psychologist | 6002098175 | Practice locations: Washington, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
87 E Maiden St
Suite 38
Washington, PA 15301-4964
Phone (724) 222-8525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004504L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780614958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 E MAIDEN ST",
"address_2": "SUITE 38",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "15301",
"telephone_number": "724-222-8525",
"fax_number": "724-222-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 E MAIDEN ST",
"address_2": "SUITE 38",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "15301",
"telephone_number": "724-222-8525",
"fax_number": "724-222-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABTREE",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS004504L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "199845",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "152912",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "CRABTREE",
"prefix": "DR.",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.