NPIMap

Organization Active NPI

Crosswinds Youth Services, Inc.

  • Community/Behavioral Health Agency
  • Cocoa, FL
National Provider Identifier
1245404375
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0705AD694301 Issued in FL
Legal business name
CROSSWINDS YOUTH SERVICES, INC.
Practice address
1407 Dixon Blvd
Cocoa, FL 32922-6411
Phone
(321) 452-0800
Fax
(321) 394-0385
NPI assigned
Apr 18, 2008
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Ms. Karen Locke, MPANPI 1174877914
Title
Director of Programs
Phone
(321) 452-0800

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
Community/Behavioral Health Agency 251S00000X 0705AD694301 FL Primary

Addresses

Primary practice location

1407 Dixon Blvd
Cocoa, FL 32922-6411

Mailing address

1407 Dixon Blvd
Cocoa, FL 32922-6411
Phone (321) 452-0800

National Provider Directory

National Provider Directory
Tax ID family
Crosswinds Youth Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1407 Dixon Blvd
Cocoa, FL 32922
Phone (321) 452-0800

Practitioners & affiliated clinicians

Practitioners 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1245404375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226411",
            "telephone_number": "321-452-0800",
            "fax_number": "321-394-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226411",
            "telephone_number": "321-452-0800",
            "fax_number": "321-394-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWINDS YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "321-452-0800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0705AD694301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.