Organization Active NPI

Crosland Behavioral Health Care, LLC

  • Adult Mental Health Clinic/Center
  • Syracuse, UT
National Provider Identifier
1184434680
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CROSLAND BEHAVIORAL HEALTH CARE, LLC
Practice address
2733 S Bluff Rd.
Syracuse, UT 84075-8924
Phone
(801) 989-4873
NPI assigned
Jan 8, 2025
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Mr. Darwin Phil Crosland, MC/MHC, LCMHC,
Title
Founder, President, Ceo
Phone
(801) 989-4873

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X NU
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2733 S Bluff Rd.
Syracuse, UT 84075-8924

Mailing address

2733 S Bluff Rd.
Syracuse, UT 84075-8924
Phone (801) 989-4873

Other identifiers 1

IdentifierTypeStateIssuer
88539717MedicaidUT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1184434680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 S BLUFF RD.",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758924",
            "telephone_number": "801-989-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 S BLUFF RD.",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758924",
            "telephone_number": "801-989-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSLAND BEHAVIORAL HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "CROSLAND",
        "authorized_official_first_name": "DARWIN",
        "authorized_official_middle_name": "PHIL",
        "authorized_official_title_or_position": "FOUNDER, PRESIDENT, CEO",
        "authorized_official_telephone_number": "801-989-4873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MC/MHC, LCMHC,"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88539717",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.