Active NPI
Thomas Alan Crum, PH.D.
- Clinical Neuropsychologist
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0810007760
- Practice address
- 4000 Coliseum Dr Ste 200
Hampton, VA 23666-5975 - Phone
- (757) 736-8050
- NPI assigned
- Dec 28, 2006
- Last updated
- Nov 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 0810007760 | VA | Primary |
| Psychologist | 103T00000X | PY6720 | FL |
Addresses
Primary practice location
4000 Coliseum Dr Ste 200
Hampton, VA 23666-5975
Mailing address
4000 Coliseum Dr Ste 200
Hampton, VA 23666-5975
Phone (757) 736-8050
Other practice location 1
201 E Sample Rd Fl 1
Deerfield Beach, FL 33064-3502
Phone (954) 786-7392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107559100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 Coliseum Dr
Suite 200
Hampton, VA 23666-5975
Phone (757) 736-8050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810007760 | VA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Clinical Neuropsychologist | Current | Accepting new patients |
| Sentara Medical Group | Current | Accepting new patients | |
| Cme Psychology Consultants PA | Past | Accepting new patients | |
| Mauro Reynolds & Associates in Counseling Inc | Past | Accepting new patients |
Locations
3600 Washington St
Ste 2005
Hollywood, FL 33021
Phone (954) 518-2424
3600 Washington St
Ste 311
Hollywood, FL 33021
Phone (954) 518-5507
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
4000 Coliseum Dr
Ste 200
Hampton, VA 23666
Phone (757) 736-8050
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
dba Memorial Division of Rehabilitative Psychology
- Clinical Neuropsychologist
- Hollywood, FL
- NPI 1245656792
-
dba Memorial Home Infusion
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Clinical Psychologist
- Delray Beach, FL
- NPI 1093852527
-
- Clinical Psychologist
- Delray Beach, FL
- NPI 1548271547
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Norfolk General Hospital
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1811053739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 COLISEUM DR STE 200",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665975",
"telephone_number": "757-736-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 COLISEUM DR STE 200",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665975",
"telephone_number": "757-736-8050"
}
],
"practiceLocations": [
{
"address_1": "201 E Sample Rd Fl 1",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "330643502",
"country_code": "US",
"telephone_number": "954-786-7392",
"fax_number": "954-786-7339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUM",
"first_name": "THOMAS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "0810007760",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY6720",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107559100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.