DR. DANE P CROCKFORD PSYD
NPI 1780031831
Psychologist - Clinical in Solana Beach, CA

Q: What is Dane Crockford's NPI number?

The NPI number for Dane Crockford is 1780031831. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Q: What is Dane Crockford'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 Dane Crockford was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 18, 2016PECOS EnrolledAccepts Medicare Assignment

990 HIGHLAND DR, STE 110-P, SOLANA BEACH, CA 92075(310) 308-9761 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2019, May 18, 2016 (2 updates tracked since 2016).

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About Dr. Dane P Crockford Psyd NPPES

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

DR. DANE P CROCKFORD PSYD (NPI 1780031831) is an individual clinical provider in Solana Beach, California, licensed in California (PSY28313) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1780031831

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DANE P CROCKFORDCredential: PSYD

Location Address990 HIGHLAND DR, STE 110-PSolana Beach, CA 92075-2408

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 269-0674

Phone(310) 308-9761

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMay 18, 2016

Last NPPES UpdateJanuary 10, 20192 updates tracked since enumeration

✔ NPI 1780031831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY28313

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 · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY28313 (CA)

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PSY28313 (CA)

990 HIGHLAND DR, Solana Beach, CA 92075

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dane P Crockford Psyd 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 ID2668705302

PECOS Enrollment IDI20190611003122

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.

Medicare Billing Reassignment

Medicare enrollment records show Dane Crockford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Centers Of San Diego, Inc

14 mi

Federally Qualified Health Center (FQHC)

3705 MISSION BLVD
San Diego, CA 92109

Reassigned Medicare billing, California enrollment
1,100 clinicians in this Medicare group

NPI 1386689701 (619) 515-2444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92075 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 13

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

DR. THOMAS C MANHEIM PH.D.

Marriage & Family Therapist

990 HIGHLAND DR, 212-C
SOLANA BEACH, CA 92075

San Diego County (858) 729-1133

DR. SUSAN MARIE TORREY PH.D.

Psychologist (Clinical)

990 HIGHLAND DR, STE. 103
SOLANA BEACH, CA 92075

San Diego County (619) 574-0838

DEBRA JEDEIKIN M.A. LMFT

Marriage & Family Therapist

990 HIGHLAND DR, SUITE 101
SOLANA BEACH, CA 92075

San Diego County (858) 342-6200

ARAZ TAWFIQUE M.D.

Psychiatry & Neurology (Psychiatry)

990 HIGHLAND DR, SUITE 105A
SOLANA BEACH, CA 92075

San Diego County (619) 356-1446

DR. CHRISTAURIA GILLIAN WELLAND-AKONG PSY.D.

Psychologist (Clinical)

990 HIGHLAND DR, #103
SOLANA BEACH, CA 92075

San Diego County (858) 922-8555

TORREY PSYCHOLOGICAL SERVICES INC

Psychologist

990 HIGHLAND DR, STE 103
SOLANA BEACH, CA 92075

San Diego County (619) 574-0838

DR. BRENDA ROLAND JOHNSON PH.D.

Psychologist (Clinical)

990 HIGHLAND DR, STE 103
SOLANA BEACH, CA 92075

San Diego County (858) 455-7333

JEFF P JONES PH.D.

Psychologist (Clinical)

990 HIGHLAND DR, SUITE 103
SOLANA BEACH, CA 92075

San Diego County (858) 793-4660

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 Dane Crockford's NPI number?

The NPI number for Dane Crockford is 1780031831. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Dane Crockford located?

Dane Crockford practices at 990 Highland Dr Ste 110-P, Solana Beach, CA 92075. The listed phone number is (310) 308-9761.

What is Dane Crockford's specialty?

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

Is Dane Crockford enrolled in Medicare?

Yes. Dane Crockford 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.

Which organization bills Medicare for Dane Crockford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dane Crockford reassigns Medicare benefits to Family Health Centers Of San Diego, Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dane Crockford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dane Crockford was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.