NPIMap

Organization Active NPI

Crossroads Integrated Health Services, Inc.

  • Clinical Psychologist
  • Morristown, TN
National Provider Identifier
1144429705
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1644 Issued in TN
Legal business name
CROSSROADS INTEGRATED HEALTH SERVICES, INC.
Practice address
836 W 1St North St
Morristown, TN 37814-4548
Phone
(423) 581-5342
Fax
(423) 581-8650
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Mrs. Karan E Goins, LCSW
Title
Owner, Therapist
Phone
(423) 581-5342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1644 TN Primary

Addresses

Primary practice location

836 W 1St North St
Morristown, TN 37814-4548

Mailing address

PO Box 1678
Morristown, TN 37816-1678
Phone (423) 581-5342

National Provider Directory

National Provider Directory

Locations

929 W 1st North St
#A
Morristown, TN 37814
Phone (423) 581-5342

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1144429705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378161678",
            "telephone_number": "423-581-5342",
            "fax_number": "423-581-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W 1ST NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144548",
            "telephone_number": "423-581-5342",
            "fax_number": "423-581-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS INTEGRATED HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "GOINS",
        "authorized_official_first_name": "KARAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "423-581-5342",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "1644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.