Crossroads Diversified Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CROSSROADS DIVERSIFIED SERVICES, INC.

Practice address

3321 Power Inn Rd
Suite 110
Sacramento, CA 95826-3890

Phone

(916) 876-5677

Fax

(916) 874-4639

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Danny Marquez

Title

Director Workforce Development

Phone

(916) 457-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1295107233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 TECH CENTER DR",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262565",
            "telephone_number": "916-457-1900",
            "fax_number": "916-457-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 POWER INN RD",
            "address_2": "SUITE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263890",
            "telephone_number": "916-876-5677",
            "fax_number": "916-874-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS DIVERSIFIED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "DIRECTOR WORKFORCE DEVELOPMENT",
        "authorized_official_telephone_number": "916-457-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Joseph Crossen, MD, MPH
• Stephanie Shelton Crossen, M.D., M.P.H.
• Allison Anne Crossley
• Crosspoint Residential LLC (Castana Residential)
• Crossroads Diversified
• Evelyn Small Crouch, NP, CNM, MS
• Kaitlyn Nicole Crouch, PA-C
• Sadie Crowe
• Andres Crowley, MD
• Jiwon Sarah Crowley, MD

• Community/Behavioral Health Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.