DR. THOMAS ALAN CRUM (NPI# 1811053739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811053739 |
| Entity Type | Individual |
| Full Name | DR. THOMAS ALAN CRUM |
| Credential | PH.D. |
| Practice Address |
3600 Washington St Suite 2005 Hollywood FL 33021-8216 |
| Mailing Address |
2900 Corporate Way Mpg Door D Miramar FL 33025-3925 |
| Practice Telephone | 9545185504 |
| Practice Fax Number | 9545182252 |
| Mailing Telephone | 9542765581 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2014-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY6720 | FL | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY6720 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | 73083V | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336761808 | Thomas Crum | Family Medicine | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-05-07 |
| 1487024196 | Thomas Joseph Crum | Pharmacist | 12510 Ocean Gtwy, Ocean City, MD 21842-9690 | 2015-10-07 |
| 1811228547 | Thomas M Crum | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2010-01-20 |
| Street Address |
3600 WASHINGTON ST SUITE 2005 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-8216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306831359 | Sterling Emergency Services of Florida Pa | Emergency Medicine | 3600 Washington St, Hollywood, FL 33021-8216 | 2005-09-15 |
| 1285244772 | Franco A Dickson | Pharmacist | 3600 Washington St, Hollywood, FL 33021-8216 | 2020-08-09 |
| 1306496773 | Richie Onwuchekwa Uba | Pharmacist | 3600 Washington St, Hollywood, FL 33021-8216 | 2019-09-17 |
| 1215499942 | Matthew Voelker | Student in an Organized Health Care Education/Training Program | 3600 Washington St, Hollywood, FL 33021-8216 | 2019-04-02 |
| 1790246171 | Andres Eduardo Gutierrez | Student in an Organized Health Care Education/Training Program | 3600 Washington St, Hollywood, FL 33021-8216 | 2019-03-27 |
| 1639630312 | Uday Mathur | Student in an Organized Health Care Education/Training Program | 3600 Washington St, Hollywood, FL 33021-8216 | 2019-03-26 |
| 1548754989 | Abhinav Mohan | Student in an Organized Health Care Education/Training Program | 3600 Washington St, Hollywood, FL 33021-8216 | 2018-06-19 |
| 1427548346 | Errol Scarlett | Student in an Organized Health Care Education/Training Program | 3600 Washington St, Hollywood, FL 33021-8216 | 2018-05-16 |
| 1326553322 | Supti Sarkar | Pharmacist | 3600 Washington St, Hollywood, FL 33021-8216 | 2017-12-12 |
| 1477973709 | Rita Hudec | Emergency Medicine | 3600 Washington St, Hollywood, FL 33021-8216 | 2014-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers in zip 33021 | ||||
| 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 |
| 1275826125 | Thomas A. Crum, Ph.d., Pa | Clinical Neuropsychologist | 450 N Park Rd, Suite 502, Hollywood, FL 33021-6917 | 2011-05-25 |
| 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 |
| Find all providers in HOLLYWOOD | ||||
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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.