NPIMap

Organization Active NPI

Crossroads Extension

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Mesa, AZ
National Provider Identifier
1184103400
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
CROSSROADS EXTENSION
Practice address
244 N Extension Rd
Mesa, AZ 85201-6300
Phone
(602) 263-5242
Fax
(602) 595-4434
NPI assigned
Aug 8, 2018
Organization subpart
Yes
Parent organization
CROSSROADS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Chris Riley
Title
Executive Director
Phone
(602) 263-5242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

244 N Extension Rd
Mesa, AZ 85201-6300

Mailing address

2002 E Osborn Rd
Phoenix, AZ 85016-7236
Phone (602) 263-5242

Other practice location 1

1700 E Thomas Rd
Phoenix, AZ 85016-7605
Phone (602) 263-5242

Other identifiers 2

IdentifierTypeStateIssuer
CSLG8406MedicaidAZ
CSLG-9554MedicaidAZ

Other names 1

  • Crossroads Outpatient NPI Other name

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Scottsdale28 organizations share this tax ID, including this one
Part of
Crossroads Scottsdale

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1184103400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 E OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167236",
            "telephone_number": "602-263-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N EXTENSION RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016300",
            "telephone_number": "602-263-5242",
            "fax_number": "602-595-4434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167605",
            "country_code": "US",
            "telephone_number": "602-263-5242",
            "fax_number": "602-595-4434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSROADS EXTENSION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSSROADS, INC.",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-263-5242"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSLG8406",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSLG-9554",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Outpatient NPI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.