Organization Active NPI

Crossroads Psychological Assessment and Treatment Center

  • Clinical Psychologist
  • San Jose, CA
National Provider Identifier
1548903016
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CROSSROADS PSYCHOLOGICAL ASSESSMENT AND TREATMENT CENTER
Practice address
3880 S Bascom Ave Ste 217
San Jose, CA 95124-2675
Phone
(408) 637-7827
NPI assigned
Apr 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Holly-Marie Arce, PSYDNPI 1356697767
Title
Ceo/Provider
Phone
(951) 764-4968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

3880 S Bascom Ave Ste 217
San Jose, CA 95124-2675

Mailing address

3880 S Bascom Ave Ste 217
San Jose, CA 95124-2675

Other names 2

  • CATC Doing business as
  • CROSSROADS ASSESSMENT AND TREATMENT CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com Other

National Provider Directory

National Provider Directory

Locations

3880 S Bascom Ave
Ste 217
San Jose, CA 95124
Phone (408) 337-2837

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1548903016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE STE 217",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE STE 217",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242675",
            "telephone_number": "408-637-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PSYCHOLOGICAL ASSESSMENT AND TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "ARCE",
        "authorized_official_first_name": "HOLLY-MARIE",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "951-764-4968",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "online patient portal",
            "address_1": "3880 S Bascom Ave Ste 217",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951242675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CATC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CROSSROADS ASSESSMENT AND TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.