Active NPI
Michael Crook
- Psychologist
- San Antonio, TX
National Provider Identifier
1871369520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 16832
- Practice address
- 13014 Kings Forest St
San Antonio, TX 78230-1515 - Phone
- (210) 744-5863
- Fax
- (210) 479-1959
- NPI assigned
- Dec 4, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 16832 | TX | Primary |
Addresses
Primary practice location
13014 Kings Forest St
San Antonio, TX 78230-1515
Mailing address
13014 Kings Forest St
San Antonio, TX 78230-1515
Phone (210) 744-5863
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 |
|---|---|---|---|
| 16832 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliance Behavioral Health, P.C. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- San Antonio, TX
- NPI 1033294608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1871369520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13014 KINGS FOREST ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301515",
"telephone_number": "210-744-5863",
"fax_number": "210-479-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13014 KINGS FOREST ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301515",
"telephone_number": "210-744-5863",
"fax_number": "210-479-1959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOK",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "16832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.