NPIMap

Organization Active NPI

Headway California Behavioral Health Services, P.C.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1174292866
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HEADWAY CALIFORNIA BEHAVIORAL HEALTH SERVICES, P.C.
Doing business as
Headway California Behavioral Health Services PC
Practice address
205 Hudson St FL 9
New York, NY 10013-1810
Phone
(646) 453-6777
Fax
(212) 337-9841
NPI assigned
Sep 7, 2021
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Cary CrallNPI 1023466653
Title
Medical Director
Phone
(646) 453-6777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

205 Hudson St FL 9
New York, NY 10013-1810

Mailing address

205 Hudson St FL 9
New York, NY 10013-1810
Phone (646) 453-6777

Other names 1

  • Headway California Behavioral Health Services PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WY, NV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20231115002684 CA Part B Supplier - Clinic/Group Practice 2769839596 Receives reassigned benefits from 10 practitioners
Practice locations: Pasadena, CA
O20240509001734 WY Part B Supplier - Clinic/Group Practice 2769839596 Receives reassigned benefits from 1 practitioner
Practice locations: Rawlins, WY
O20240815000466 NV Part B Supplier - Clinic/Group Practice 2769839596 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2100 E Cedar St
Ofc J
Rawlins, WY 82301

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1174292866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HUDSON ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131810",
            "telephone_number": "646-453-6777",
            "fax_number": "929-596-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HUDSON ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131810",
            "telephone_number": "646-453-6777",
            "fax_number": "212-337-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWAY CALIFORNIA BEHAVIORAL HEALTH SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "CRALL",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-453-6777"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Headway California Behavioral Health Services PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.