John W Crum, PHD
Individual provider Active NPI Clinical Psychologist · Belpre, OH
NPI 1598873804 · NPPES record last updated Dec 22, 2023
Key facts
- NPI
- 1598873804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6520 (OH)
- Practice address
- 807 Farson St Ste 204a
Belpre, OH 45714-1069 - Phone
- (740) 401-1930
- Fax
- (740) 401-1937
- NPI assigned
- Aug 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marietta Memorial Hospital
Practice addresses (Care Compare)
401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400
807 Farson St
Belpre, OH 45714-1069
Hospital & facility affiliations
- Marietta Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090728000253 | OH | Practitioner - Clinical Psychologist | 1658424429 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6520 | OH | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marietta Memorial Hospital | Current |
Accepting new patients | |
| Marietta Memorial Hospital | Current |
Accepting new patients |
Locations
807 Farson St
Ste 201C
Belpre, OH 45714
Phone (740) 423-3220
807 Farson St
Ste 101
Belpre, OH 45714
Phone (740) 423-3611
807 Farson St
Ste 201A
Belpre, OH 45714
Phone (740) 401-1138
807 Farson St
Ste 204A
Belpre, OH 45714
Phone (740) 423-3611
807 Farson St
Ste 201
Belpre, OH 45714
Phone (740) 423-3220
401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400
701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194
416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047
400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6520 | OH | Yes |
Addresses
Primary practice location
807 Farson St Ste 204a
Belpre, OH 45714-1069
Mailing address
131 Woodlawn Ave
Belpre, OH 45714-9203
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.crum@mmhs.medicity.net |
Other providers in Belpre, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.