Charles Douglas Crombie, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0710102241 Issued in VA

Practice address

297 Independence Blvd Ste 126
Virginia Beach, VA 23462-2836

Phone

(757) 385-0546

Fax

(757) 473-5161

NPI assigned

Jun 14, 2021

Last updated

Jun 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccrombie@vbgov.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Virginia Beach

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Virginia Beach, VA
  • NPI 1861562472
  NPD
• City of Virginia Beach

  • Ambulance
  • Virginia Beach, VA
  • NPI 1013704246
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1598333825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 INDEPENDENCE BLVD STE 126",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622836",
            "telephone_number": "757-385-0546",
            "fax_number": "757-473-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 INDEPENDENCE BLVD STE 126",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622836",
            "telephone_number": "757-385-0546",
            "fax_number": "757-473-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMBIE",
        "first_name": "CHARLES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccrombie@vbgov.com",
            "affiliation": "N",
            "endpointDescription": "Agency",
            "address_1": "297 Independence Blvd Ste 126",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234622836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabriela Crispino, RBT
• Alexandria Crocker
• Elizabeth Lee Crockett, PA
• Tonesia Croft
• Zakkiyya Crolle-Jordan, MT
• Patricia Crombie
• Matthew S. Cronan, DMD
• Shannon Cronan, OTR/L
• Christine D Cronin, RPH
• Kate Cronje, LPC

• Addiction (Substance Use Disorder) Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.