Organization Active NPI

Crossroads Behavioral Health Providers

  • Psychiatry Physician
  • Huntingburg, IN
National Provider Identifier
1528614229
Registry record updated Aug 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2019

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.