Crossroads Psychological Associates LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CROSSROADS PSYCHOLOGICAL ASSOCIATES LLC

Practice address

10784 Hickory Ridge Rd
Columbia, MD 21044-3646

Phone

(410) 964-0425

Fax

(410) 964-0515

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Susan Stacy

Title

Administrator

Phone

(410) 964-0425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 4

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

• Wanda C Caesar, CRNP-FNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethesda, MD
  • NPI 1316288699
  Medicare reassignment Care Compare group NPD
• Brenda Lee May, LCSWC

  • Clinical Social Worker
  • Columbia, MD
  • NPI 1164418380
  Medicare reassignment Care Compare group NPD
• Laura Chapman Renbaum, M.D.

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1073511226
  Medicare reassignment Care Compare group NPD
• David Marc Band, M.D.

  • Psychiatry Physician
  • Ashburn, VA
  • NPI 1043316094

  MD

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1285814079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10784 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443646",
            "telephone_number": "410-964-0425",
            "fax_number": "410-964-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10784 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443646",
            "telephone_number": "410-964-0425",
            "fax_number": "410-964-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PSYCHOLOGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "STACY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-964-0425"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Michelle Crosby
• Raquelle Cross
• Taylor Cross, RBT
• Kester I.H. Crosse II, M.D.
• Kisa S Crosse, MD
• Crossthodontics LLC
• Jeffrey Stewart Crouch, LCSW-C
• Janet Alice Crow, LCPC
• Lindsay A Crow, PH.D.
• Aubree Crowder, RBT

• Psychologist in Columbia, MD
• Providers in Columbia, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.