Active NPI
Keila Santos- Crespo
- Clinical Psychologist
- Cleburne, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38487
- Practice address
- 904 N Main St Ste C
Cleburne, TX 76033-3803 - Phone
- (939) 645-1555
- Fax
- (817) 558-7566
- NPI assigned
- Jan 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 38487 | TX | Primary |
Addresses
Primary practice location
904 N Main St Ste C
Cleburne, TX 76033-3803
Mailing address
PO Box 241
Keene, TX 76059-0241
Phone (939) 645-1555
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 S Main St
Suite 202
Cleburne, TX 76033-5501
Phone (939) 645-1555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38487 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Medical Center | Current | Accepting new patients | |
| Healing Path Psychological Services | Clinical | Current | Accepting new patients |
| Cook Children'S Medical Center | Current | Accepting new patients | |
| Tara Mitchell, LCSW | Past | Accepting new patients |
Locations
1011 Granbury St
Cleburne, TX 76033
Phone (817) 645-3328
904 N Main St
Ste C
Cleburne, TX 76033
Phone (817) 645-3328
115 S Main St
Ste 202
Cleburne, TX 76033
Phone (939) 645-1555
1500 Cooper St
Ft Worth, TX 76104
Phone (682) 885-2500
Organizations & group practices 5
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.
-
- Clinical Psychologist
- Cleburne, TX
- NPI 1407470974
-
- Clinical Child & Adolescent Psychologist
- Fort Worth, TX
- NPI 1710702907
-
- Clinical Neuropsychologist
- Fort Worth, TX
- NPI 1215236245
-
- Air Ambulance
- Fort Worth, TX
- NPI 1215907530
-
- Clinical Social Worker
- Cleburne, TX
- NPI 1245830991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758326400000",
"number": "1841612249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241",
"city": "KEENE",
"state": "TX",
"postal_code": "760590241",
"telephone_number": "939-645-1555",
"fax_number": "817-755-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 N MAIN ST STE C",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760333803",
"telephone_number": "939-645-1555",
"fax_number": "817-558-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS- CRESPO",
"first_name": "KEILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-20",
"last_updated": "2025-09-20",
"certification_date": "2025-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "38487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.