DR. KAYLEE B CROCKETT PHD
NPI 1740720853
Psychologist - Clinical in Birmingham, AL

Active since March 08, 2017PECOS EnrolledAccepts Medicare Assignment
1201 11TH AVE S STE 410, BIRMINGHAM, AL 35205(205) 934-9700 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2020, Aug 20, 2020 (2 updates tracked since 2020).

About Dr. Kaylee B Crockett Phd NPPES

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

DR. KAYLEE B CROCKETT PHD (NPI 1740720853) is an individual clinical provider in Birmingham, Alabama, licensed in Alabama (2118) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Augusta, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1740720853
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KAYLEE B CROCKETTCredential: PHD
Location Address1201 11TH AVE S STE 410Birmingham, AL 35205-3423
Mailing Address1201 11th Ave S Ste 410Birmingham, AL 35205-3423 · (770) 312-7070
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 8, 2017
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
NPI 1740720853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in AL · 2118
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 ListedPsychologist · Health ServiceTaxonomy 103TH0100X
1201 11TH AVE S STE 410, Birmingham, AL 35205

Other Names 1

Former Name (1)Kaylee E Burnham Phd

Secondary Practice Location 1

Location 1997 Saint Sebastian WayAugusta, GA 30912-2613 · Phone (706) 712-3530

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kaylee B Crockett Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254742661
PECOS Enrollment IDI20201116001072
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1201 11TH AVE S STE 410
BIRMINGHAM, AL 35205
Family Medicine (Sports Medicine)
1201 11TH AVE S STE 410
BIRMINGHAM, AL 35205
Student in an Organized Health Care Education/Training Program
1201 11TH AVE S STE 410
BIRMINGHAM, AL 35205
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1201 11TH AVE S STE 410
BIRMINGHAM, AL 35205
Dietitian, Registered
1201 11TH AVE S STE 410
BIRMINGHAM, AL 35205

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 Kaylee Crockett's NPI number?

The NPI number for Kaylee Crockett is 1740720853. It was assigned to this individual provider in the NPPES registry on March 8, 2017. The provider is also known as Kaylee E Burnham Phd.

Where is Kaylee Crockett located?

Kaylee Crockett practices at 1201 11th Ave S Ste 410, Birmingham, AL 35205. The listed phone number is (205) 934-9700.

What is Kaylee Crockett's specialty?

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

Is Kaylee Crockett enrolled in Medicare?

Yes. Kaylee Crockett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kaylee Crockett accept?

Health plans from Blue Cross and Blue Shield of Alabama list Kaylee Crockett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaylee Crockett was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.