Organization Active NPI

Cross Cultural Counseling & Evaluations

  • Clinical Psychologist
  • Santa Rosa, CA
National Provider Identifier
1609182005
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23205 Issued in CA
Legal business name
CROSS CULTURAL COUNSELING & EVALUATIONS
Practice address
1550 Airport Blvd
Suite 206
Santa Rosa, CA 95403-1093
Phone
(707) 546-5294
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Carolyn F Crimmins, PSY.D.
Title
General Partner
Phone
(707) 327-6742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY23205 CA Primary

Addresses

Primary practice location

1550 Airport Blvd
Suite 206
Santa Rosa, CA 95403-1093

Mailing address

1550 Airport Blvd
Suite 206
Santa Rosa, CA 95403-1093
Phone (707) 546-5294

National Provider Directory

National Provider Directory

Locations

1550 Airport Blvd
Ste 206
Santa Rosa, CA 95403
Phone (707) 546-5294

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": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1609182005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 AIRPORT BLVD",
            "address_2": "SUITE 206",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031093",
            "telephone_number": "707-546-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 AIRPORT BLVD",
            "address_2": "SUITE 206",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031093",
            "telephone_number": "707-546-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CULTURAL COUNSELING & EVALUATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "CRIMMINS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "707-327-6742",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.