Active NPI
Danny Crum, PSYCHOLOGIST
- School Psychologist
- Martinsburg, WV
National Provider Identifier
1164948865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- R7N140800091
- Practice address
- 401 S Queen St
Martinsburg, WV 25401-3233 - Phone
- (304) 267-3595
- Fax
- (304) 267-3599
- NPI assigned
- Aug 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | R7N140800091 | WV | Primary |
Addresses
Primary practice location
401 S Queen St
Martinsburg, WV 25401-3233
Mailing address
Berkeley County Boe 401 South Queen Street
401 South Queen Street
Martinsburg, WV 25414
Phone (304) 267-3595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R7N140800091 | Other | WV | WV BOARD OF EDUCATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7N140800091 | WV | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164948865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BERKELEY COUNTY BOE 401 SOUTH QUEEN STREET",
"address_2": "401 SOUTH QUEEN STREET",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25414",
"telephone_number": "304-267-3595",
"fax_number": "304-267-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S QUEEN ST",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254013233",
"telephone_number": "304-267-3595",
"fax_number": "304-267-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUM",
"first_name": "DANNY",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WV",
"license": "R7N140800091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV BOARD OF EDUCATION",
"identifier": "R7N140800091",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.