DR. BLAINE CECIL CRUM III PHD NPI 1184884306

Psychologist - Clinical in Atmore, AL

Individual Male Psychologist Clinical PECOS Enrolled

About DR. BLAINE CECIL CRUM III PHD

Blaine Crum is a provider established in Atmore, Alabama and his medical specialization is Psychologist with a focus in clinical . The NPI number of Blaine Crum is 1184884306 and was assigned on June 2008. The practitioner's primary taxonomy code is 103TC0700X with license number 80 (AL). The provider is registered as an individual and his NPI record was last updated 14 years ago.

A clinical psychologist like Dr. Blaine Cecil Crum Iii Phd assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

NPI

1184884306

Provider NameDR. BLAINE CECIL CRUM III PHD
Provider Location Address5811 JACK SPRINGS RD ATMORE, AL 36502
Provider Mailing Address5811 JACK SPRINGS RD ATMORE, AL 36502
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-11-2008
Last Update Date06-11-2008



Blaine Crum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME)..

Blaine Crum is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.80
License StateAL
Taxonomy DescriptionA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

DR. BLAINE CECIL CRUM III PHD
5811 JACK SPRINGS RD
ATMORE, AL
ZIP 36502
Phone: (251) 368-9136
Fax: (251) 368-0832

Get Directions


Mailing Address

DR. BLAINE CECIL CRUM III PHD
5811 JACK SPRINGS RD
ATMORE, AL
ZIP 36502
Phone: (251) 368-9136
Fax: (251) 368-0832


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingNo
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184884306
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164168830
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 6 + 8 + 8 + 3 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1184884306 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467418715 GORDON QUINN RPH
Individual
Pharmacist5811 JACK SPRINGS RD
ATMORE, AL 36502
(251) 368-8630
1992815435 PARKER GENE ESTVOLD M.D.
Individual
Family Medicine5811 JACK SPRINGS RD
ATMORE, AL 36502
(251) 368-8630
1689784084 JULIA GORDON CRNP
Individual
Nurse Practitioner (Family)5811 JACK SPRINGS RD
ATMORE, AL 36502
(251) 368-8630
1942359450 LINDA G MARTIN D.H.
Individual
Dental Hygienist5811 JACK SPRINGS RD
ATMORE, AL 36502
(251) 368-9136
1063557585 SELINA CHEE PHARM.D.
Individual
Pharmacist5811 JACK SPRINGS RD
ATMORE, AL 36502
(251) 368-9136
1336257575POARCH BAND OF CREEK INDIANS DBA PREMIER FAMILY EYE CARE
Organization
Optometrist5811 JACK SPRINGS RD
ATMORE, AL 36502
(251) 446-3937
1275742546POARCH CREEK HEALTH CLINIC PHARMACY
Organization
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy5811 JACK SPRINGS RD
ATMORE, AL 36502
(251) 368-8630

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Blaine Cecil Crum Iii Phd is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.