Individual provider Active NPI

Joel Crohn, PH.D.

  • Psychologist
  • Berkeley, CA
National Provider Identifier
1902138605
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY5735 Issued in CA
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

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
PSY5735CAMDPsychologist
5735CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.