THOMAS A. CRUM, PH.D., PA (NPI# 1275826125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275826125 |
| Entity Type | Organization |
| Organization Name | THOMAS A. CRUM, PH.D., PA |
| Practice Address |
450 N Park Rd Suite 502 Hollywood FL 33021-6917 |
| Practice Telephone | 9549647701 |
| Practice Fax Number | 9546531413 |
| Mailing Telephone | 9549647701 |
| Mailing Fax Number | 9546531413 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | DR. THOMAS ALAN CRUM (PRESIDENT) |
| Authorized Official Telephone | 9549647701 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY6720 | FL | Behavioral Health & Social Service Providers |
| Street Address |
450 N PARK RD SUITE 502 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-6917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396754552 | Our Children Our Future, Inc. | Community/Behavioral Health | 450 N Park Rd, Suite 600, Hollywood, FL 33021-6917 | 2006-08-05 |
| 1053910406 | Angellina Nicole Dowlatram | Counselor | 450 N Park Rd, Hollywood, FL 33021-6917 | 2020-10-17 |
| 1760917611 | Lauren Alyssa Clover | Behavior Technician | 450 N Park Rd, Suite 400, Hollywood, FL 33021-6917 | 2017-04-28 |
| 1073048047 | Clara Peicher De Fleischer Pa | Counselor | 450 N Park Rd, Suite 401, Hollywood, FL 33021-6917 | 2017-04-26 |
| 1942735196 | Patricia Hodge | Behavior Technician | 450 N Park Rd, Suite 400, Hollywood, FL 33021-6917 | 2017-04-25 |
| 1346775731 | Kimberly Hines Jean Baptiste | Marriage & Family Therapist | 450 N Park Rd, Ste.600, Hollywood, FL 33021-6917 | 2017-04-24 |
| 1316480155 | Carolynn White | Marriage & Family Therapist | 450 N Park Rd, #400, Hollywood, FL 33021-6917 | 2016-11-28 |
| 1982089868 | Gold Standard Rx LLC | Pharmacy | 450 N Park Rd, Suite 302, Hollywood, FL 33021-6917 | 2015-07-21 |
| 1255754958 | Brittany Thigpen | Music Therapist | 450 N Park Rd, Suite 400, Hollywood, FL 33021-6917 | 2014-01-31 |
| 1457645103 | Cheryl A. Luis, Phd, Abpp-cn, Pa | Community/Behavioral Health | 450 N Park Rd, Suite 502, Hollywood, FL 33021-6917 | 2011-05-30 |
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|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245656792 | South Broward Hospital District | Clinical Neuropsychologist | 3600 Washington St Ste 1005, Hollywood, FL 33021-8216 | 2014-03-07 |
| 1538385919 | Jacqueline C Valdes | Clinical Neuropsychologist | 2214 Hollywood Blvd, Hollywood, FL 33020-6702 | 2007-04-17 |
| 1962528133 | William A Sherman Jr. | Clinical Neuropsychologist | 44610 Smiths Nursery Rd, Hollywood, MD 20636-2902 | 2007-03-21 |
| 1336258144 | Steven Lloyd Ganzell | Clinical Neuropsychologist | 6115 Selma Ave, Suite 200, Hollywood, CA 90028-6440 | 2006-08-29 |
| 1831177435 | Jacqueline Chehebar-valdes Phd Pa | Clinical Neuropsychologist | 2214 Hollywood Boulevard, Hollywood, FL 33020 | 2006-01-04 |
| 1629589833 | Cristina Carolina Santiago | Clinical Neuropsychologist | 1150 N 35th Ave Ste 520, Hollywood, FL 33021-5431 | 2017-10-14 |
| 1023401932 | Marian Rosado | Clinical Neuropsychologist | 3600 Washington St Ste 1005, Hollywood, FL 33021-8216 | 2015-03-17 |
| 1447559448 | Center for Neuropsychological Assessment Services LLC | Clinical Neuropsychologist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2011-03-16 |
| 1740583582 | Christina Maria Zafiris | Clinical Neuropsychologist | 4651 Sheridan St, Ste 150, Hollywood, FL 33021-3457 | 2010-12-17 |
| 1548577034 | Lawrence Brooks | Clinical Neuropsychologist | 3810 Hollywood Blvd, Suite 2, Hollywood, FL 33021-6779 | 2010-09-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.