Active NPIIndividual providerSole proprietor

Dr. Eileen T Crehan, PHD

Psychologist, Clinical in Worcester, Massachusetts

NPI Number1487228912
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
—
Last updated
July 18, 2025

Eileen Tara Crehan is a Psychologist, Clinical based in Worcester, MA. Eileen Tara Crehan practices in Worcester, MA and has the professional credentials of PHD. The NPI Number for Eileen Tara Crehan is 1487228912 and holds a License No. PSY11596 (MA). The current practice location address for Eileen Tara Crehan is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 774-442-3028.

Provider Profile Details

NPI Number
1487228912
Provider Name
Eileen Tara Crehan
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
774-442-3028
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 19, 2021
Last Update Date
July 18, 2025
Certification Date
July 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
774-442-3028
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885

License Information

License Number (2)
PSY11596
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary
Taxonomy (3)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Eileen T Crehan, PHD?

The NPI number of Dr. Eileen T Crehan, PHD is 1487228912. It was assigned on May 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Eileen T Crehan, PHD?

Dr. Eileen T Crehan, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number PSY11596.

Where does Dr. Eileen T Crehan, PHD practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 774-442-3028 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487228912 directly on the NPPES registry website.

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