Crossroads Primary Care and Integrative Medicine

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CROSSROADS PRIMARY CARE AND INTEGRATIVE MEDICINE

Practice address

4801 Dorsey Hall Dr
Suite 201
Ellicott City, MD 21042-7766

Phone

(410) 997-7660

Fax

(410) 997-5377

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Cathy Lynn Faggio

Title

Manager

Phone

(410) 997-7660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1447513684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR",
            "address_2": "SUITE 201",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427766",
            "telephone_number": "410-997-7660",
            "fax_number": "410-997-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR",
            "address_2": "SUITE 201",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427766",
            "telephone_number": "410-997-7660",
            "fax_number": "410-997-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PRIMARY CARE AND INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "FAGGIO",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-997-7660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Cremins
• Ivan Croft
• Crossroads Apothecary, LLC.
• Crossroads Health Services
• Crossroads Medical Associates, LLC
• Kiersten Crowley
• Elizabeth Houston Crump, LCSW C
• Karolyn Crutchfield, M.S., CCC-SLP
• Waleska Cruz Sotomayor, LCPC
• Candice Solis Cruz

• Multi-Specialty Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Multi-Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.