Crossroads Psychotherapy PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801057593 Issued in MI

Legal business name

CROSSROADS PSYCHOTHERAPY PC

Practice address

432 Wildwood Ave
Jackson, MI 49201-1148

Phone

(517) 787-2251

Fax

(517) 787-2879

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Ralph Krajewski, LMSW

Title

President

Phone

(517) 787-2251

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Mary J Grogan, ACSW

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1285858076
  NPD (past)
• Beth E Vanderwalker, LMSW

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1639338981
  NPD (past)
• Michael Paul Vanderwalker, LMSW

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1902961766
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1174704068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011148",
            "telephone_number": "517-787-2251",
            "fax_number": "517-787-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 WILDWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011148",
            "telephone_number": "517-787-2251",
            "fax_number": "517-787-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PSYCHOTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "KRAJEWSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-787-2251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801057593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Cropsey
• Douglas Crosby, M.D.
• Denise Delilah Cross, CHW
• Elizabeth Anne Cross, NP
• Roxanne Cross
• Britni Crouch
• Franka Crowell, MA, CCC/SLP
• Sarah Jean Crowgey, LMSW
• Gail Denise Crull, RN
• Jessica Cruz

• Community/Behavioral Health Agency in Jackson, MI
• Providers in Jackson, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.