Julia Crumrine PHD Clinical Psychologist LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JULIA CRUMRINE PHD CLINICAL PSYCHOLOGIST LLC

Practice address

970 Millpond Rd Ste C
Valparaiso, IN 46385-6273

Phone

(219) 707-8515

Fax

(219) 386-2253

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Julia Marie Nicholson Crumrine, PHD, HSPP

Title

Owner

Phone

(219) 707-8515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Marie Crumrine, PHD HSPP

  • Clinical Psychologist
  • Valparaiso, IN
  • NPI 1932100484
  Medicare reassignment NPD

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1821859729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MILLPOND RD STE C",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856273",
            "telephone_number": "219-707-8515",
            "fax_number": "219-386-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MILLPOND RD STE C",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856273",
            "telephone_number": "219-707-8515",
            "fax_number": "219-386-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA CRUMRINE PHD CLINICAL PSYCHOLOGIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON CRUMRINE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-707-8515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph a Dejoan MD LLC
• Reagan Carolyn Joseph, MA, LMHCA
• Gordana Josifovski
• Heather Lynn Jozwiak, O.D.
• Amber Judickas
• Roxanna Jurca, LMT
• K J Singh, MD, PC
• Daniel Tobias Kachur, MA
• Thalia Gina Kamel, MD
• Allison Marie Kaminski, LMHCA

• Clinical Psychologist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.