Dane P. Crockford, PSYD
NPI 1780031831ActiveIndividual· Psychologist, Clinical· Solana Beach, CA
Psychologist, Clinical (PSYD) with Family Health Centers of San Diego Inc, practicing in Solana Beach, California. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1780031831 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | May 18, 2016 |
| Last updated in NPPES | Jan 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY28313 | CA |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | PSY28313 | CA |
| Psychologist, Family | 103TF0000X | PSY28313 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Family Health Centers of San Diego IncSan Diego, CA · 311 clinicians
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