Provider Type Icon

DR. BRADLEY JOHN CRENSHAW PH.D. NPI 1215994207


NPI Information

NPI: 1215994207
Provider Name: DR. BRADLEY JOHN CRENSHAW, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
79 S PLEASANT ST
SUITE 6
AMHERST, MA
ZIP 01002
Phone: (413) 259-1017
Get Directions

DR. Bradley John Crenshaw, PH.D. is a clinical neuropsychologist in Amherst, MA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Bradley John Crenshaw, PH.D. NPI is 1215994207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

79 S PLEASANT ST
SUITE 6
AMHERST, MA
ZIP 01002-370
Phone: (413) 259-1017
Fax: (413) 259-1017

The enumeration date for this NPI number is 4/26/2006 and was last updated on 12/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist6679MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
124757OTHERMASSACHUSETTSHEALTH NEW ENGLAND
20526886MEDICAIDMASSACHUSETTS
3Y62191MEDICARE PINMASSACHUSETTS
462000574OTHERMASSACHUSETTSRAILROAD MEDICARE
5W05830OTHERMASSACHUSETTSBLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.