Crossroads Group, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301012697 Issued in MI

Legal business name

CROSSROADS GROUP, LLC

Practice address

667 Kuehnle St
Ann Arbor, MI 48103-2608

Phone

(734) 660-4828

Fax

(734) 994-9722

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dorella Louise Bond, PH.D.

Title

Member/Owner

Phone

(734) 660-4828

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1023116480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 KUEHNLE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032608",
            "telephone_number": "734-660-4828",
            "fax_number": "734-994-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 KUEHNLE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032608",
            "telephone_number": "734-660-4828",
            "fax_number": "734-994-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "DORELLA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "734-660-4828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF CT",
            "identifier": "060001850CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1780613885",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MI",
            "identifier": "68-0-F3-3231-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Cross, RN
• Roxanne Cross, NP
• Kaitlyn Crossan, DO
• Adrianna E Crossing, MA
• Crossroads Counseling, PLLC
• Crouch Optometry PLLC
• Kaylah Crowe
• Kendra Lynn Crowe
• Dennis C Crowley, MD
• Justin Paul Crowley, PA-C

• Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.