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ALEXANDRA CROCKETT PSYD
NPI 1467865170
Psychologist - Clinical in Portland, OR

Active since June 10, 2014
1336 NW FLANDERS ST STE 100, PORTLAND, OR 97209(510) 440-3622 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2026, Jan 3, 2022, Mar 5, 2020 and 1 more (4 updates tracked since 2016).

About Alexandra Crockett Psyd NPPES

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

ALEXANDRA CROCKETT PSYD (NPI 1467865170) is an individual clinical provider in Portland, Oregon, licensed in California (PSY30646) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1467865170
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameALEXANDRA CROCKETTCredential: PSYD
Location Address1336 NW FLANDERS ST STE 100Portland, OR 97209-2645
Mailing Address1336 Nw Flanders St Ste 100Portland, OR 97209-2645 · (510) 440-3622
Phone(510) 440-3622
Sole ProprietorNo
Enumeration DateJune 10, 2014
Last NPPES UpdateJune 2, 20264 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1467865170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CA · PSY30646✔ Licensed in OR · 4041
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1336 NW FLANDERS ST STE 100, Portland, OR 97209
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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 Alexandra Crockett's NPI number?

The NPI number for Alexandra Crockett is 1467865170. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Alexandra Crockett located?

Alexandra Crockett practices at 1336 NW Flanders St Ste 100, Portland, OR 97209. The listed phone number is (510) 440-3622.

What is Alexandra Crockett'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 Alexandra Crockett was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.