Active NPI
Crossroads Behavioral Health Providers
- Psychiatry Physician
- Huntingburg, IN
National Provider Identifier
1528614229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CROSSROADS BEHAVIORAL HEALTH PROVIDERS
- Practice address
- 1900 Medical Arts Dr
Huntingburg, IN 47542-9821 - Phone
- (270) 900-1461
- NPI assigned
- Aug 18, 2019
- Last updated
- Aug 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shazia Mahmood
- Title
- Member
- Phone
- (270) 300-5564
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
1900 Medical Arts Dr
Huntingburg, IN 47542-9821
Mailing address
PO Box 305
Union City, IN 47390-0305
Phone (765) 969-7841
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Adult Health Nurse Practitioner
- Indianapolis, IN
- NPI 1760785091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566086400000",
"number": "1528614229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305",
"city": "UNION CITY",
"state": "IN",
"postal_code": "473900305",
"telephone_number": "765-969-7841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 MEDICAL ARTS DR",
"city": "HUNTINGBURG",
"state": "IN",
"postal_code": "475429821",
"telephone_number": "270-900-1461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS BEHAVIORAL HEALTH PROVIDERS",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-18",
"last_updated": "2019-08-18",
"status": "A",
"authorized_official_last_name": "MAHMOOD",
"authorized_official_first_name": "SHAZIA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "270-300-5564"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntingburg, IN
- Quade R. Claridge, DC
- Nila M. Clark, SLP
- Seth Fredrick Collins, DMD
- Kelly Jo Counts
- Crossroads Behavioral Health LLC
- Deaconess Clinic Inc
- Deaconess Hospital, Inc (Deaconess Cross Pointe)
- Deaconess Memorial Medical Center Inc (Memorial Healthcare of Huntingburg)
- Deaconess Memorial Medical Center Inc
- Deaconess Memorial Medical Center Inc (Memorial Hospital and Health Care Center Huntingburg Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.