Crossroads for Women, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

221001 Issued in ME

Legal business name

CROSSROADS FOR WOMEN, INC.

Doing business as

Crossroads

Practice address

71 US Route 1
Suite E
Scarborough, ME 04074-9375

Phone

(207) 773-9931

Fax

(207) 879-5576

NPI assigned

Aug 22, 2005

Last updated

Dec 11, 2013By 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

Polly Haight Frawley

Title

Chief of Operations

Phone

(207) 773-9931

Specialties & licenses 7

Addresses

Other identifiers 3

Other names 1

• Crossroads Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Tax ID family

Crossroads for Women3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Crossroads for Women, Inc.

  • Substance Abuse Rehabilitation Facility
  • Windham, ME
  • NPI 1265760185
  NPD tax ID
• Crossroads for Women, Inc.

  dba crossroads for women

  • Mental Health Counselor
  • Scarborough, ME
  • NPI 1740272129
  NPD tax ID

Locations

Practitioners 6

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.

• Elizabeth Dunn

  • Clinical Social Worker
  • South Portland, ME
  • NPI 1376945469

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Anna Bianconi, LCSW

  • Clinical Social Worker
  • Augusta, ME
  • NPI 1023735131
  Medicare reassignment Care Compare group
• Angela M. Barbato, LCSW

  • Clinical Social Worker
  • Scarborough, ME
  • NPI 1932414497
  Medicare reassignment
• Hollie Rae Brewer-Cushman, LCSW

  • Clinical Social Worker
  • Scarborough, ME
  • NPI 1548045982
  Medicare reassignment
• Sarah E. Andreotta, LICSW

  • Clinical Social Worker
  • Chestnut Hill, MA
  • NPI 1639667025

  ME

  Medicare reassignment
• Kaycee Theberge, LMSW-CC

  • Social Worker
  • Portland, ME
  • NPI 1407226079
  NPD

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1326030701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 US ROUTE 1",
            "address_2": "SUITE E",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749375",
            "telephone_number": "207-773-9931",
            "fax_number": "207-775-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 US ROUTE 1",
            "address_2": "SUITE E",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749375",
            "telephone_number": "207-773-9931",
            "fax_number": "207-879-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FOR WOMEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "FRAWLEY",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "HAIGHT",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "207-773-9931"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "221001",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "221001",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "124450000",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "221001",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "ME",
            "license": "220981",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "221001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "124450000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124450001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124450000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124450100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allyson L Crasnick, FNP
• Emily Crawford
• Tristan Oliver Cray, PTA
• Paul Thomas Creedon, FNP-C
• Marcela Criado
• Crossroads for Women, Inc. (crossroads for women)
• Patrick John Cruden, MD
• Crystal Care Services LLC
• Molli Jean Cullins, AGACNP
• Christian Scott Cumback, BOCO

• Addiction (Substance Use Disorder) Counselor in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.