Active NPI
Joel Crohn, PH.D.
- Psychologist
- Berkeley, CA
National Provider Identifier
1902138605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY5735
- Practice address
- 2930 Domingo Ave Ste 218
Berkeley, CA 94705-2454 - Phone
- (510) 545-9600
- NPI assigned
- Feb 4, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY5735 | CA | Primary |
Addresses
Primary practice location
2930 Domingo Ave Ste 218
Berkeley, CA 94705-2454
Mailing address
2930 Domingo Ave Ste 218
Berkeley, CA 94705-2454
Phone (510) 545-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY5735 | CA | MD | Psychologist |
| 5735 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindy Werner-Crohn, M.D., Inc, | Psychologist | Current | Accepting new patients |
Locations
2930 Domingo Ave
Berkeley, CA 94705
Phone (510) 431-8114
23622 Calabasas Rd
Ste 301
Calabasas, CA 91302
Phone (818) 756-0050
23371 Mulholland Dr
Woodland Hls, CA 91364
Phone (310) 621-3502
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.
-
- Psychologist
- Oakland, CA
- NPI 1871844787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1902138605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 DOMINGO AVE STE 218",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052454",
"telephone_number": "510-545-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 DOMINGO AVE STE 218",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052454",
"telephone_number": "510-545-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROHN",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-04",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY5735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.