Central Florida Neuropsychology, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

CENTRAL FLORIDA NEUROPSYCHOLOGY, LLC

Practice address

4646 Nadena Dr
Sebring, FL 33872-1779

Phone

(866) 448-1965

Fax

(888) 242-1396

NPI assigned

Dec 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susan Crum, PH.D.NPI 1679719728

Title

Psychologist/Director

Phone

(866) 488-1965

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan L Crum, PH.D.

  • Clinical Neuropsychologist
  • Sebring, FL
  • NPI 1679719728
  Medicare reassignment NPD Authorized official
• Mark Ashby, MD

  • Psychiatry Physician
  • Sebring, FL
  • NPI 1063417616
  Medicare reassignment NPD
• Bruce Daniel Bassi, M.D.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1093125759

  FL

  Medicare reassignment NPD
• Juan Pio Ros Carretero, M.D.

  • Anesthesiology Physician
  • Sebring, FL
  • NPI 1427001502
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1235375387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7365",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338720107",
            "telephone_number": "866-448-1965",
            "fax_number": "888-242-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 NADENA DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338721779",
            "telephone_number": "866-448-1965",
            "fax_number": "888-242-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/DIRECTOR",
        "authorized_official_telephone_number": "866-488-1965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY6618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Sebring, FL
• Providers in Sebring, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.