Active NPI
Roy Howard Crouse, PHD
- Clinical Psychologist
- Blacksburg, VA
National Provider Identifier
1225095458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002327
- Practice address
- 820 University City Blvd
Suite 1
Blacksburg, VA 24060-2708 - Phone
- (540) 961-2380
- Fax
- (540) 961-3408
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810002327 | VA | Primary |
Addresses
Primary practice location
820 University City Blvd
Suite 1
Blacksburg, VA 24060-2708
Mailing address
820 University City Blvd
Suite 1
Blacksburg, VA 24060-2708
Phone (540) 961-2380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7707118 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002327 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Psychological Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Blacksburg, VA
- NPI 1194887174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1225095458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 UNIVERSITY CITY BLVD",
"address_2": "SUITE 1",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240602708",
"telephone_number": "540-961-2380",
"fax_number": "540-961-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 UNIVERSITY CITY BLVD",
"address_2": "SUITE 1",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240602708",
"telephone_number": "540-961-2380",
"fax_number": "540-961-3408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUSE",
"first_name": "ROY",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7707118",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.