Active NPI
Gaylain Monya Crosby, LPA
- Clinical Psychologist
- Shelby, NC
National Provider Identifier
1962564187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1846
- Practice address
- 917 1St St
Shelby, NC 28150-3958 - Phone
- (704) 480-6641
- Fax
- (704) 480-1364
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1846 | NC | Primary |
Addresses
Primary practice location
917 1St St
Shelby, NC 28150-3958
Mailing address
330 Marys Grove Church Rd
Kings Mountain, NC 28086-9345
Phone (704) 730-9211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107347 | Medicaid | NC |
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 |
|---|---|---|---|
| 1846 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962564187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MARYS GROVE CHURCH RD",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280869345",
"telephone_number": "704-730-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 1ST ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503958",
"telephone_number": "704-480-6641",
"fax_number": "704-480-1364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSBY",
"first_name": "GAYLAIN",
"middle_name": "MONYA",
"name_prefix": "Ms.",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107347",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- 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.