Crossroads Treatment Centers of North Carolina, P.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CROSSROADS TREATMENT CENTERS OF NORTH CAROLINA, P.C.

Practice address

227 N Talbert Blvd
Lexington, NC 27292-4142

Phone

(800) 805-6989

Fax

(864) 558-8511

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Rupert McCormac, MD

Title

MD

Phone

(800) 805-6989

Specialties & licenses 6

Addresses

Other names 1

• Crossroads Treatment Centers Lexington Doing business as

Tax ID family

Crossroads Treatment Centers Charlotte4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Crossroads Treatment Centers of North Carolina, P.C.

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1346968161
  NPD tax ID
• Crossroads Treatment Centers of North Carolina, P.C.

  • Multi-Specialty Clinic/Center
  • Gastonia, NC
  • NPI 1427776244
  NPD tax ID
• Crossroads Treatment Centers of North Carolina, P.C.

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
  • NPI 1619695434
  NPD tax ID

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1386366706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BROAD ST STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012891",
            "telephone_number": "800-805-6989",
            "fax_number": "864-558-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N TALBERT BLVD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924142",
            "telephone_number": "800-805-6989",
            "fax_number": "864-558-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS TREATMENT CENTERS OF NORTH CAROLINA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "MCCORMAC",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "800-805-6989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Treatment Centers Lexington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivy Cranford
• Alina Dominguez Craven, LCSW
• Creative Conversations Therapy and Supervision PLLC
• Carrie Crofford
• Jessica Paige Crosby, OTR/L
• Taylor Marie Crum
• Jeffrey Cruz Castillo, LAT, ATC
• Jimmarck Perel Castisimo Cuenta, DO
• Joseph William Cullom, M.D.
• Olivia Ralea Cundiff

• Multi-Specialty Clinic/Center in Lexington, NC
• Providers in Lexington, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.