Active NPI
Richard A Crabbe, M.D.
- Child & Adolescent Psychiatry Physician
- Centralia, WA
National Provider Identifier
1992824403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD00039351
- Practice address
- 1911 Cooks Hill Rd
Centralia, WA 98531-9073 - Phone
- (360) 736-6778
- Fax
- (360) 736-6552
- NPI assigned
- Mar 28, 2007
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD00039351 | WA | Primary |
Addresses
Primary practice location
1911 Cooks Hill Rd
Centralia, WA 98531-9073
Mailing address
1911 Cooks Hill Rd
Centralia, WA 98531-9073
Phone (360) 736-6778
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7122617 | Medicaid | WA | |
| 7127202 | Medicaid | WA | |
| NO0108 | Other | WA | REGENCE |
| 2291CR | Other | WA | REGENCE |
| 8349342 | Medicaid | WA |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 4, 2016 through Jan 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00039351 | WA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271289600000",
"number": "1992824403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 COOKS HILL RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319073",
"telephone_number": "360-736-6778",
"fax_number": "360-736-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 COOKS HILL RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319073",
"telephone_number": "360-736-6778",
"fax_number": "360-736-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABBE",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2010-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "MD00039351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7122617",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7127202",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "NO0108",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "2291CR",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8349342",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.