Crossroads Treatment Centers of North Carolina, P.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CROSSROADS TREATMENT CENTERS OF NORTH CAROLINA, P.C.

Doing business as

Crossroads Treatment Centers Charlotte

Practice address

2848 Queen City Dr Ste G
Charlotte, NC 28208-2739

Phone

(800) 805-6989

Fax

(864) 558-8511

NPI assigned

Aug 17, 2022

Last updated

Aug 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rupert McCormac, MDNPI 1669486239

Title

Ceo

Phone

(800) 805-6898

Specialties & licenses 6

Addresses

Other names 1

• Crossroads Treatment Centers Charlotte Doing business as

Tax ID family

Crossroads Treatment Centers Charlotte4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Crossroads Treatment Centers of North Carolina, P.C.

  dba Crossroads Treatment Centers Concord

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1346968161
  NPD tax ID
• Crossroads Treatment Centers of North Carolina, P.C.

  dba Crossroads Treatment Centers Lexington

  • Multi-Specialty Clinic/Center
  • Lexington, NC
  • NPI 1386366706
  NPD tax ID
• Crossroads Treatment Centers of North Carolina, P.C.

  dba Crossroads Treatment Centers Gastonia

  • Multi-Specialty Clinic/Center
  • Gastonia, NC
  • NPI 1427776244
  NPD tax ID

Locations

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.

• Rupert James McCormac IV, M.D.

  • Psychiatry Physician
  • Greer, SC
  • NPI 1669486239
  Authorized official Same address or phone

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1619695434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BROAD ST STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012891",
            "telephone_number": "008-805-6989",
            "fax_number": "864-558-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 QUEEN CITY DR STE G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082739",
            "telephone_number": "800-805-6989",
            "fax_number": "864-558-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS TREATMENT CENTERS OF NORTH CAROLINA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "MCCORMAC",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-805-6898",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Treatment Centers Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mattie Cross, MS, CCC-SLP
• Crossover
• Crossover Health Medical Group
• Crossroads Counseling and Coaching, PLLC
• Crossroads Therapy LLC
• Cassandra B Crosston, OTR/L
• Crossway Counseling Solutions, LLC
• Crossway, Inc. (Crossway Pediatric Therapy)
• Allison Anne Crotty, LCSW
• Daynes Crouch, LCMHCA

• Multi-Specialty Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.