Carolyn J Cruse, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33253 Issued in TX

Practice address

5501 Bryan St
Dallas, TX 75206-8103

Phone

(214) 828-2603

Fax

(214) 828-4954

NPI assigned

Nov 29, 2006

Last updated

Sep 18, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Cook Children's Medical Center

  • Clinical Child & Adolescent Psychologist
  • Fort Worth, TX
  • NPI 1710702907
  Medicare reassignment NPD
• Cook Children's Medical Center

  dba Cook Children's Developmental Psychology

  • Intellectual & Developmental Disabilities Psychologist
  • Fort Worth, TX
  • NPI 1164105458
  NPD
• Cook Children's Medical Center

  dba Teddy Bear Transport

  • Air Ambulance
  • Fort Worth, TX
  • NPI 1215907530
  NPD
• Behavioral and Medical Homecare Inc

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1043203458
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1790852622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 BRYAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752068103",
            "telephone_number": "214-828-2603",
            "fax_number": "214-828-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 BRYAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752068103",
            "telephone_number": "214-828-2603",
            "fax_number": "214-828-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSE",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185673401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ma'Resia Crump
• Steven Mark Crump, L.P.C., L.C.D.C.
• Thomas Bradley Crump, D.D.S., M.S.
• Lindsey Marie Crumpacker
• Thomas Crumpton II, LOT, MOT
• Jackson Isaiah Crutch
• Jhasmun Crutcher, FNP-BC
• James Julian Crutchfield, DC
• Kennedy Crutchfield
• Lauren Crutchfield, PT, DPT

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.