Active NPI
Crossroads Associates
- Community/Behavioral Health Agency
- San Jose, CA
National Provider Identifier
1629345640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CROSSROADS ASSOCIATES
- Practice address
- 5487 Judith St
#1
San Jose, CA 95123-1807 - Phone
- (408) 226-2834
- NPI assigned
- Nov 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dale E White
- Title
- Executive Director
- Phone
- (408) 226-2834
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5487 Judith St
#1
San Jose, CA 95123-1807
Mailing address
PO Box 23126
San Jose, CA 95153-3126
Phone (408) 226-2834
Other names 1
- Crossroads Residential Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321574400000",
"number": "1629345640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23126",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951533126",
"telephone_number": "408-226-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5487 JUDITH ST",
"address_2": "#1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231807",
"telephone_number": "408-226-2834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "408-226-2834",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Crossroads Residential Services",
"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 Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.