DR. BRADLEY JOHN CRENSHAW (NPI# 1215994207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215994207 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY JOHN CRENSHAW |
| Credential | PH.D. |
| Practice Address |
79 S Pleasant St Suite 6 Amherst MA 01002-2370 |
| Mailing Address |
20 Maplewood Dr Amherst MA 01002-1843 |
| Practice Telephone | 4132591017 |
| Practice Fax Number | 4132591017 |
| Mailing Telephone | 4135494146 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 6679 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | RAILROAD MEDICARE | 62000574 | 01 |
| MA | BLUE CROSS/BLUE SHIELD | W05830 | 01 |
| MA | HEALTH NEW ENGLAND | 24757 | 01 |
| MA | 0526886 | 05 |
| Street Address |
79 S PLEASANT ST SUITE 6 |
| City | AMHERST |
| State | MA |
| Zip Code | 01002-2370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396146023 | Rachel Epstein | Psychologist | 79 S Pleasant St, Amherst, MA 01002-2370 | 2014-09-12 |
| 1700925856 | Katherine Pfister | Social Worker | 79 S Pleasant St, Amherst, MA 01002-2370 | 2007-02-05 |
| 1003974940 | Renee Z Spring | Social Worker | 79 S Pleasant St, Amherst, MA 01002-2370 | 2006-12-04 |
| 1538232996 | John H Lambdin | Psychologist | 79 S Pleasant St, Amherst, MA 01002-2370 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336625227 | Rachel Rudman | Chore Provider | 158 Leverett Road, Amberst, MA 01002 | 2018-07-14 |
| 1629568654 | Jacqueline Alvarez | Psychologist | Hitchcock House, 271 South Pleasant Street, Amherst, MA 01002 | 2018-05-15 |
| 1609244169 | Judith Fernandes | Personal Emergency Response Attendant | 222 Belchertown, Amherst, MA 01002 | 2015-09-14 |
| 1841683349 | Sheila Bray Moriarty | Dietitian, Registered | 10 Gatehouse Road #210, Amherst, MA 01002 | 2015-03-09 |
| 1750784708 | Sarah Englaish | Social Worker | 100 University Drive, 2nd Floor, Amherst, MA 01002 | 2014-10-06 |
| 1245657147 | Sylvia Megan Buzzell | Social Worker | 101 University Drive, Amherst, MA 01002 | 2014-03-28 |
| 1932525979 | Claudia Kaplan Phd LLC | Psychologist | 178 N Pleasant Street, Amherst, MA 01002 | 2014-03-14 |
| 1285075333 | Amira Y Pellett | Dietitian, Registered | 26 South Prospect Street Suite No. 9, Valley Nutrition Counselling, Amherst, MA 01002 | 2013-07-17 |
| 1124377668 | Emma Osborne | Counselor | 167 Montague Road, Amherst, MA 01002 | 2012-08-30 |
| 1629301742 | Lamar Josef Batiste | Social Worker | 45 Amherst Road, Pelham Elementary School, Pelham, MA 01002 | 2009-09-08 |
| Find all providers in zip 01002 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528245859 | Thomas C. Garbett | Clinical Neuropsychologist | 14 Hickory Ln, Amherst, MA 01002-2845 | 2008-01-29 |
| 1316071749 | Lisa Ann Jackson | Clinical Neuropsychologist | 4955 N Bailey Ave, Amherst, NY 14226-1206 | 2007-03-15 |
| 1558493148 | Patricia Anne Schumm | Clinical Neuropsychologist | 48 N Pleasant St, 207, Amherst, MA 01002-1738 | 2007-03-10 |
| 1497850911 | Dent Neurologic Group LLP | Clinical Neuropsychologist | 3980 Sheridan Dr, Suite 200, Amherst, NY 14226-1727 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949873 | Erica Rose Appleman | Clinical Neuropsychologist | 134 Horace St, Boston, MA 02128-1581 | 2020-07-09 |
| 1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
| 1194365312 | Erin Grace Kitchener | Clinical Neuropsychologist | 1 Wells Ave Fl 4, Newton, MA 02459-3211 | 2020-01-15 |
| 1407330509 | Coastal Psychological Center, LLC. | Clinical Neuropsychologist | 36 Woburn St Ste 6, Reading, MA 01867-2903 | 2018-09-24 |
| 1881102515 | Matthew S Conway | Clinical Neuropsychologist | 26 Chestnut St Ste 2e, Andover, MA 01810-3600 | 2018-01-16 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1346792637 | Margaret Alice Mcphee | Clinical Neuropsychologist | 29 Regina Dr, Chelmsford, MA 01824-4540 | 2016-11-02 |
| 1154870814 | Jessica Pan | Clinical Neuropsychologist | 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 | 2016-09-22 |
| 1508217506 | Donald Bearden | Clinical Neuropsychologist | 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 | 2016-06-30 |
| 1497115612 | Susan Magocsi | Clinical Neuropsychologist | 13 Meetinghouse Ln, Milton, MA 02186-2415 | 2016-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.