Susan L Crum, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY6618 Issued in FL

Practice address

3205 Physicians Way
Sebring, FL 33870-5447

Phone

(863) 402-2222

Fax

(855) 429-8888

NPI assigned

Dec 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Central Florida Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Sebring, FL
  • NPI 1235375387
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1679719728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 PHYSICIANS WAY",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705447",
            "telephone_number": "863-402-2222",
            "fax_number": "855-429-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 PHYSICIANS WAY",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705447",
            "telephone_number": "863-402-2222",
            "fax_number": "855-429-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 Nadena Dr",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338721779",
            "country_code": "US",
            "telephone_number": "866-488-1965",
            "fax_number": "888-242-1396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUM",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY6618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF PSYCHOLOGY",
            "identifier": "6618",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark E Crawford, PTA
• Brandy L Crockett, RBT
• Margaret Croney, MSW, CMSW, LCSW
• Crossroads Recovery Center, Inc.
• Suzanne Crowell, HIS
• Leanne Crumley, LMHC
• Ana Cruz, BS
• Joanna Samson Cruz, RPT
• Joel Carangan Cruz, P.T.
• Joel Dennis Cruz

• 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 Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.