Organization Active NPI

Cross River Therapy

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1003433491
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CROSS RIVER THERAPY
Practice address
3455 Peachtree Rd NE FL 5
Atlanta, GA 30326-3254
Phone
(646) 577-8787
NPI assigned
Jul 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Zauderer
Title
Ceo
Phone
(646) 499-1825

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3455 Peachtree Rd NE FL 5
Atlanta, GA 30326-3254

Mailing address

740 Cedar Lawn Ave
Far Rockaway, NY 11691-5304
Phone (646) 577-8787

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1003433491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CEDAR LAWN AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915304",
            "telephone_number": "646-577-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PEACHTREE RD NE FL 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263254",
            "telephone_number": "646-577-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS RIVER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "ZAUDERER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-499-1825"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.