Organization Active NPI

Crossroads Academy

  • Psychiatric Residential Treatment Facility
  • Ogden, UT
National Provider Identifier
1053671123
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
CROSSROADS ACADEMY
Practice address
914 32ND St
Ogden, UT 84403-0718
Phone
(801) 334-5051
Fax
(801) 760-4638
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Samuel K Dahlin, MS, PH.D, LMFT
Title
Clinical Director
Phone
(801) 334-5051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X UT Primary

Addresses

Primary practice location

914 32ND St
Ogden, UT 84403-0718

Mailing address

195 25TH St Ste 300
Ogden, UT 84401-1308
Phone (801) 689-2529

Other practice location 1

5545 S 1225 E
Ogden, UT 84403-4522
Phone (801) 689-2529

National Provider Directory

National Provider Directory

Locations

195 25th St
Ste 300
Ogden, UT 84401

914 32nd St
Ogden, UT 84403
Phone (408) 966-1983

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1053671123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 25TH ST STE 300",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011308",
            "telephone_number": "801-689-2529",
            "fax_number": "801-760-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 32ND ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844030718",
            "telephone_number": "801-334-5051",
            "fax_number": "801-760-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5545 S 1225 E",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844034522",
            "country_code": "US",
            "telephone_number": "801-689-2529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSROADS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "DAHLIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-334-5051",
        "authorized_official_credential": "MS, PH.D, LMFT"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.