NPIMap

Organization Active NPI

Crossroads Psychotherapy Group Inc.

  • Clinical Psychologist
  • Long Beach, CA
National Provider Identifier
1467409516
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CROSSROADS PSYCHOTHERAPY GROUP INC.
Practice address
6615 E Pacific Coast Hwy
Suite #115
Long Beach, CA 90803-4211
Phone
(562) 596-0090
Fax
(562) 596-0094
NPI assigned
May 27, 2006
Last updated
Aug 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Dr. Deborah G. Mather, PH.D.NPI 1669429767
Title
Ceo/ Clinical Psychologist
Phone
(714) 846-8230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

6615 E Pacific Coast Hwy
Suite #115
Long Beach, CA 90803-4211

Mailing address

16033 Bolsa Chica St
Suite #104-239
Huntington Beach, CA 92649-2452
Phone (714) 846-8230

National Provider Directory

National Provider Directory

Locations

16033 Bolsa Chica St
Ste 104239
Huntington Beach, CA 92649

6615 E Pacific Coast Hwy
Ste 115
Long Beach, CA 90803
Phone (562) 596-0090

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1467409516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16033 BOLSA CHICA ST",
            "address_2": "SUITE #104-239",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492452",
            "telephone_number": "714-846-8230",
            "fax_number": "714-840-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY",
            "address_2": "SUITE #115",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034211",
            "telephone_number": "562-596-0090",
            "fax_number": "562-596-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PSYCHOTHERAPY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "MATHER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO/ CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "714-846-8230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.