Phyllis Marcia Cronin, MS, RN, CNS

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

200370015 Issued in OR

Practice address

6525 NE. Mallory Avenue
Portland, OR 97211-2421

Phone

(503) 289-1242

NPI assigned

Jul 6, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1851603971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 N.E MALLORY AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97211",
            "telephone_number": "503-289-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 NE. MALLORY AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112421",
            "telephone_number": "503-289-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "PHYLLIS",
        "middle_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "MS, RN, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200370015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Cronin
• Dayna Cronin, MSW, QMHP
• Jesse Ray Cronin, BCABA
• Lauren Michelle Cronin, RN
• Maureen Cronin, PT
• Courtney Cronk
• Raleigh Cronrath
• Kody James Crook, DMD
• Stephen R Crook, M.D.
• Kino Crooke

• Psychiatric/Mental Health Clinical Nurse Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.