Individual provider Active NPI

Carol A. Crowley, PHD.

  • Clinical Psychologist
  • Farmington Hills, MI
National Provider Identifier
1780698647
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301009253 Issued in MI
Practice address
30375 Northwestern Hwy
Suite 200
Farmington Hills, MI 48334
Phone
(248) 254-3332
Fax
(248) 254-3333
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301009253 MI Primary

Addresses

Primary practice location

30375 Northwestern Hwy
Suite 200
Farmington Hills, MI 48334

Mailing address

31275 Northwestern Hwy Ste 206
Farmington Hills, MI 48334-2579
Phone (248) 254-3400

Other practice location 1

10315 Grand River Rd Ste 3104
Brighton, MI 48116-9594
Phone (248) 254-3400

Other identifiers 1

IdentifierTypeStateIssuer
7509107710OtherMIBCBS

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)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Counseling & Psychotherapy Cente Past Accepting new patients
Northwest Counseling & Psycotherapy Center Past Accepting new patients

Organizations & group practices 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1780698647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31275 NORTHWESTERN HWY STE 206",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342579",
            "telephone_number": "248-254-3400",
            "fax_number": "248-702-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30375 NORTHWESTERN HWY",
            "address_2": "SUITE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-254-3332",
            "fax_number": "248-254-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10315 Grand River Rd Ste 3104",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481169594",
            "country_code": "US",
            "telephone_number": "248-254-3400",
            "fax_number": "810-522-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "CAROL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7509107710",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.