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SUSAN L CRUM PH.D.
NPI 1679719728
Clinical Neuropsychologist in Sebring, FL

Active since December 19, 2008PECOS EnrolledAccepts Medicare Assignment
3205 PHYSICIANS WAY, SEBRING, FL 33870(863) 402-2222(855) 429-8888 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2020, Apr 15, 2019 (2 updates tracked since 2019).

About Susan L Crum Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN L CRUM PH.D. (NPI 1679719728) is an individual clinical neuropsychologist in Sebring, Florida, licensed in Florida (PY6618) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sebring, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1679719728
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameSUSAN L CRUMCredential: PH.D.
Location Address3205 PHYSICIANS WAYSebring, FL 33870-5447
Mailing Address3205 Physicians WaySebring, FL 33870-5447 · (863) 402-2222 · Fax (855) 429-8888
Phone(863) 402-2222
Fax(855) 429-8888
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateDecember 19, 2008
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1679719728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in FL · PY6618
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3205 PHYSICIANS WAY, Sebring, FL 33870
Open in Google Maps ↗

Secondary Practice Location 1

Location 14646 Nadena DrSebring, FL 33872-1779 · Phone (866) 488-1965 · Fax (888) 242-1396

Other Identifiers 1

Other6618FL · Florida Board Of Psychology

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan L Crum Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355491432
PECOS Enrollment IDI20090611000153
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
700 services46 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
497 services40 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
460 services34 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
273 services19 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
176 services46 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
61 services40 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%36 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YAMARIS BOBE PSY.D
Psychologist
3205 PHYSICIANS WAY
SEBRING, FL 33870
Highlands County (863) 402-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Crum's NPI number?

The NPI number for Susan Crum is 1679719728. It was assigned to this individual provider in the NPPES registry on December 19, 2008.

Where is Susan Crum located?

Susan Crum practices at 3205 Physicians Way, Sebring, FL 33870. The listed phone number is (863) 402-2222.

What is Susan Crum's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Susan Crum enrolled in Medicare?

Yes. Susan Crum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Crum accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 4 other insurers list Susan Crum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Crum was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.