Crossroad Transitional Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CROSSROAD TRANSITIONAL INC.

Practice address

19646 Ballinger St
Northridge, CA 91324-2103

Phone

(818) 918-7223

Fax

(818) 280-5673

NPI assigned

Apr 15, 2016

Last updated

Apr 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony N Hatam, PH.D.

Title

President

Phone

(818) 718-7223

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1245684216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19646 BALLINGER ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242103",
            "telephone_number": "818-918-7223",
            "fax_number": "818-280-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 BALLINGER ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242103",
            "telephone_number": "818-918-7223",
            "fax_number": "818-280-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROAD TRANSITIONAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "HATAM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-718-7223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josue Covarrubias
• Rosa Covian
• Cristal Lynn Crandall
• Kendall Creal
• Lindsay Anne Croon, ASW, LCSW
• Stephanie Crawford Crump-Faber
• Daniel Cruz
• Jaime Emilio Cruz, APCC
• Josue Noe Cruz
• Lizett Cruz

• Substance Abuse Rehabilitation Facility in Northridge, CA
• Providers in Northridge, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.