Provider Demographics
NPI:1952424178
Name:THOMAS N. CRUMBLEY, M.D., P.C.
Entity Type:Organization
Organization Name:THOMAS N. CRUMBLEY, M.D., P.C.
Other - Org Name:ARIZONA PSYCHIATRIC PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:N
Authorized Official - Last Name:CRUMBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:602-336-2727
Mailing Address - Street 1:PO BOX 5747
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85261-5747
Mailing Address - Country:US
Mailing Address - Phone:602-336-2727
Mailing Address - Fax:480-391-2333
Practice Address - Street 1:1800 E VAN BUREN ST
Practice Address - Street 2:SLBHC
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-3742
Practice Address - Country:US
Practice Address - Phone:602-336-2727
Practice Address - Fax:480-391-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ179452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ539653Medicaid
AZAZ0755260OtherBLUE CROSS BLUE SHIELD
77465Medicare ID - Type UnspecifiedGRP.
AZ539653Medicaid
77467Medicare PIN