Crossing Waters, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CROSSING WATERS, PLLC

Practice address

313 Walnut St Ste 107
Wilmington, NC 28401-4063

Phone

(910) 805-8205

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia R Fitzsimmons, PSY.D.NPI 1699002089

Title

Clinical Psychologist/Owner

Phone

(910) 805-8205

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Cynthia R Fitzsimmons, PSY.D.

  • Clinical Psychologist
  • Wilmington, NC
  • NPI 1699002089
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1215549431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 MANCHESTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284051317",
            "telephone_number": "864-546-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 WALNUT ST STE 107",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014063",
            "telephone_number": "910-805-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSING WATERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "910-805-8205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crossingwaters@protonmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "313 Walnut St Ste 107",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284014063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John W Cromer Jr., MD
• Hannah Cronin
• Jonathan Oliver Crook, PHD
• Jeremy Shawn Croom, CTRS
• Mackenzie Cross, DPT
• Crossroads Counseling, P.C.
• Nicole Croteau-Johnson, LPA
• Donald Arthur Crouchley Jr., DC
• Rachel Ann Crouse, M.A, LCAS-A
• Scott George Crowder, MD

• Clinical Psychologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.