DR. CRAIG ALLAN NORDSTROM PSYD, HSPP
NPI 1154942340
Psychologist - Clinical in Beverly Shores, IN

Q: What is Craig Nordstrom's NPI number?

The NPI number for Craig Nordstrom is 1154942340. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Q: What is Craig Nordstrom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Craig Nordstrom was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2020

111 E CLEARWATER AVE, BEVERLY SHORES, IN 46301(219) 628-3650(844) 364-4603 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Craig Allan Nordstrom Psyd, Hspp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRAIG ALLAN NORDSTROM PSYD, HSPP (NPI 1154942340) is an individual clinical provider in Beverly Shores, Indiana, licensed in Indiana (20041303A) and active in the NPI registry since April 2020. He maintains a secondary practice location in Elkhart.

NPPES Registry Identity

NPI1154942340

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CRAIG ALLAN NORDSTROMCredential: PSYD, HSPP

Location Address111 E CLEARWATER AVEBeverly Shores, IN 46301-0056

Mailing AddressPo Box 2344Portage, IN 46368-5844 · (219) 628-3650 · Fax (844) 364-4603

Phone(219) 628-3650

Fax(844) 364-4603

Sole ProprietorNo

Enumeration DateApril 29, 2020

NPPES CertifiedApril 29, 2020

✔ NPI 1154942340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IN · 20041303A

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

111 E CLEARWATER AVE, Beverly Shores, IN 46301

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Secondary Practice Location 1

Location 1600 S Main St Ste 309Elkhart, IN 46516-3248 · Phone (219) 628-3650 · Fax (844) 364-4603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Nordstrom's NPI number?

The NPI number for Craig Nordstrom is 1154942340. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Craig Nordstrom located?

Craig Nordstrom practices at 111 E Clearwater Ave, Beverly Shores, IN 46301. The listed phone number is (219) 628-3650.

What is Craig Nordstrom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Craig Nordstrom was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.