Crossroads Cognitive Behavioral Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CROSSROADS COGNITIVE BEHAVIORAL SERVICES

Practice address

2454 W Lisbon Ave
Milwaukee, WI 53205-1413

Phone

(414) 562-6361

Fax

(414) 204-8689

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Dereck McClendonNPI 1699224584

Title

Executive Director

Phone

(414) 562-6361

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dereck McClendon

  • Counselor
  • Milwaukee, WI
  • NPI 1699224584
  NPD (past) Authorized official

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1598215980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 W LISBON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051413",
            "telephone_number": "414-562-6361",
            "fax_number": "414-204-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 W LISBON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051413",
            "telephone_number": "414-562-6361",
            "fax_number": "414-204-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COGNITIVE BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "DERECK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-562-6361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Cross, M.S, ED.S.
• Veronica Ann Cross, PHLEBOTOMY CPT
• Crossfire Christian Counseling, LLC
• Crossphysio
• Crossroads Care Center of Milwaukee LLC
• Crosswoods Transportation LLC
• John D Crouch, M.D.
• Rachel C Crouch, PA-C
• Jennifer Crouse, MS, RD, CD
• Joanna Kelley Crouse, PA-C

• Community/Behavioral Health Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.