Organization Active NPI

Crossroad Health Services LLC

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1336884345
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CROSSROAD HEALTH SERVICES LLC
Practice address
326 Cedar Ave S Ste 6
Minneapolis, MN 55454-1086
Phone
(612) 444-9927
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Faysal Mohamed
Title
President
Phone
(612) 444-9927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

326 Cedar Ave S Ste 6
Minneapolis, MN 55454-1086

Mailing address

326 Cedar Ave S Ste 6
Minneapolis, MN 55454-1086
Phone (612) 444-9927

National Provider Directory

National Provider Directory

Locations

4445 77th St W
Ste 233
Minneapolis, MN 55435

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1336884345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 CEDAR AVE S STE 6",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541086",
            "telephone_number": "612-444-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 CEDAR AVE S STE 6",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541086",
            "telephone_number": "612-444-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROAD HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "FAYSAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-444-9927"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.