Headway Wisconsin Behavioral Health Services, S.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HEADWAY WISCONSIN BEHAVIORAL HEALTH SERVICES, S.C.

Doing business as

Headway Wisconsin Behavioral Health Services SC

Practice address

205 Hudson St FL 9
New York, NY 10013-1810

Phone

(646) 453-6777

Fax

(212) 337-9841

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Cary CrallNPI 1023466653

Title

Medical Director

Phone

(646) 453-6777

Specialties & licenses 7

Addresses

Other names 1

• Headway Wisconsin Behavioral Health Services SC Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

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

• Meredith Goldberg, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1881000974
  Medicare reassignment NPD
• Cary Siebers Crall, MD

  • Psychiatry Physician
  • Boston, MA
  • NPI 1023466653
  NPD (past) Authorized official

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1437875564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HUDSON ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131810",
            "telephone_number": "646-453-6777",
            "fax_number": "929-596-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HUDSON ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131810",
            "telephone_number": "646-453-6777",
            "fax_number": "212-337-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWAY WISCONSIN BEHAVIORAL HEALTH SERVICES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "CRALL",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-453-6777"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Headway Wisconsin Behavioral Health Services SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.