Crossing Waters, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CROSSING WATERS, LLC

Practice address

1 Chick Springs Rd
Suite 215
Greenville, SC 29609

Phone

(864) 546-0217

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia R Fitzsimmons, PSY.D.NPI 1699002089

Title

Owner/Psychologist

Phone

(864) 546-0217

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Cynthia R Fitzsimmons, PSY.D.

  • Clinical Psychologist
  • Wilmington, NC
  • NPI 1699002089
  NPD (past) Authorized official

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1477958213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WOODLAND LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-546-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD",
            "address_2": "SUITE 215",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29609",
            "telephone_number": "864-546-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSING WATERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "864-546-0217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0469",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Crosland, LISW CP
• Meagan Crosland, DMD
• Andrew Walker Cross, M.D.
• Margaret Cross
• Margarita Anatolyevna Cross, NP
• Samantha Crossley, M.A. CCC-SLP
• Crossroads at Mountain Meadows, Inc.
• Crossroads Treatment Center of Greenville, PC
• Howland E Crosswell, M.D.
• Mary Ratchford Crosswell, M.D.

• Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.