Active NPI
Kristina Cromeenes, SCHOOL PSYCHOLOGIST
- School Psychologist
- Metropolis, IL
National Provider Identifier
1841709151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2506424
- Practice address
- 1015 Filmore St
Metropolis, IL 62960-1762 - Phone
- (618) 524-9376
- NPI assigned
- Sep 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 2506422 | IL | |
| School Psychologist | 103TS0200X | 2506424 | IL | Primary |
Addresses
Primary practice location
1015 Filmore St
Metropolis, IL 62960-1762
Mailing address
1015 Filmore St
Metropolis, IL 62960-1762
Phone (618) 524-9376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2506424 | Other | SCHOOL SERVICE PERSONNEL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2506422 | IL | MD | School Counselor |
| 2506424 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1841709151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 FILMORE ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629601762",
"telephone_number": "618-524-9376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 FILMORE ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629601762",
"telephone_number": "618-524-9376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROMEENES",
"first_name": "KRISTINA",
"credential": "SCHOOL PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "IL",
"license": "2506422",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "2506424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHOOL SERVICE PERSONNEL",
"identifier": "2506424",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Metropolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.