Crossroads Psychological Center PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CROSSROADS PSYCHOLOGICAL CENTER PLLC

Practice address

106 N Antler St
Gladwin, MI 48624-1562

Phone

(989) 709-5430

Fax

(989) 403-7161

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Debra Hamilton, PSYD, LLPNPI 1164954129

Title

Owner

Phone

(989) 709-5430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Debra Hamilton, PSYD, LLP

  • Psychologist
  • Gladwin, MI
  • NPI 1164954129
  Medicare reassignment NPD Authorized official
• Paul Douglas Callan, PH.D.

  • Clinical Psychologist
  • Fenton, MI
  • NPI 1407953037
  NPD (past)
• Priscilla Zoma, LLP

  • Clinical Psychologist
  • Clarkston, MI
  • NPI 1316307424
  NPD (past)

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1346790375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N ANTLER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241562",
            "telephone_number": "989-709-5430",
            "fax_number": "989-403-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N ANTLER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241562",
            "telephone_number": "989-709-5430",
            "fax_number": "989-403-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PSYCHOLOGICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-709-5430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LLP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Dee Ann Cooper
• Cornerstone Caregiving East LLC
• Brent Sayre Craig, RPH
• Sarah Crandall
• Kenneth C Crawford
• Janice May Crowley, LMSW
• Erykah Rielly Curns
• Alyssa Dantzer, LLMSW
• Shannon Davidson, CPRC, CPSS
• Neddine M Demory, MA, LPC, QMHP, CAADC

• Adult Mental Health Clinic/Center in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.