DALE CROWDER (PHD) – Clinical Psychologist, NPI 1154477800

DALE CROWDER (PHD) is a healthcare provider. based in Crawfordsville, Indiana. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. 20041496 (IN). The NPI Number for DALE CROWDER (PHD) is 1154477800

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DALE CROWDER (PHD)
NPI
1154477800
Phone
(765) 362-2852
Address
1480 DARLINGTON AVE
Enumeration Date
26 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
7654232638
Graduation Year
1999 (27 years ago)
PAC ID
9133317480
Group Practice PAC ID
7315927563
Professional Enrollment ID
I20101230000627
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DALE CROWDER (PHD)

  • 1480 DARLINGTON AVE

    CRAWFORDSVILLE, IN 479332007

    Phone: (765) 362-2852

    Fax: (765) 362-2862

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101230000627IClinical PsychologistINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47933)

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Provider's Procedures

DALE CROWDER (PHD) performs procedures in Clinical Psychologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALIN90853Group psychotherapy24415

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315927563View full group profile
NameSpecialtyState
-IN
-IN
Clinical Social WorkerIN
Marriage And Family TherapistIN
Nurse PractitionerIN
Nurse PractitionerIN
P S Y C H I A T R YIN
-IN
Clinical Social WorkerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the standard ID for DALE CROWDER (PHD) in the U.S.?
In the U.S., DALE CROWDER (PHD) is identified by NPI 1154477800.
Should I treat DALE CROWDER (PHD) as an active provider?
Patients and plans typically see DALE CROWDER (PHD) as active in the national extract.
What services align with DALE CROWDER (PHD)'s listing?
DALE CROWDER (PHD)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DALE CROWDER (PHD)?
DALE CROWDER (PHD) is associated with Crawfordsville, Indiana in the same public data insurers reference.
Who maintains DALE CROWDER (PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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