Phillip R Crookshanks

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

Seneca Health Services Inc
100 Church Street
Lewisburg, WV 24901

Phone

(304) 645-3319

Fax

(304) 645-6532

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962563668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SENECA HEALTH SERVICES INC",
            "address_2": "1305 WEBSTER ROAD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "26651",
            "telephone_number": "304-872-6577",
            "fax_number": "304-872-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SENECA HEALTH SERVICES INC",
            "address_2": "100 CHURCH STREET",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "24901",
            "telephone_number": "304-645-3319",
            "fax_number": "304-645-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKSHANKS",
        "first_name": "PHILLIP",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Crane
• Kristian Crist
• Deborah Crookshanks
• Deloris A Crookshanks
• Jeremy E Crookshanks
• Jamie L Crosier, MSW, LICSW
• Jessica Cross
• Mary Beth Long Crutcher, OTD, OTR/L
• Kayla Iris Cuadros, DO
• Maegan Culp, DO

• Counseling Psychologist in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Counseling Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.