Crossroads Behavioral Healthcare

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CROSSROADS BEHAVIORAL HEALTHCARE

Practice address

200 Elkin Business Park Dr
Elkin, NC 28621-3159

Phone

(336) 835-1000

Fax

(336) 835-1002

NPI assigned

Dec 18, 2006

Last updated

Apr 3, 2009By 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

Mr. David Swann

Title

Ceo

Phone

(336) 835-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Crossroads Behavioral Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Crossroads Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Elkin, NC
  • NPI 1124260120
  NPD tax ID

Practitioners 4

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.

• Garry D Cook, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1922047026
  NPD (past)
• Ann Patricia Jackson, LPC, NCC

  • Health Maintenance Organization
  • Elkin, NC
  • NPI 1114101896
  NPD (past)
• Megan D Logan, LCSW

  • Clinical Social Worker
  • Hickory, NC
  • NPI 1336326842
  NPD (past)
• Millicent Johnson Shadden, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1336167576
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1649333113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELKIN BUSINESS PARK DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286213159",
            "telephone_number": "336-835-1000",
            "fax_number": "336-835-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELKIN BUSINESS PARK DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286213159",
            "telephone_number": "336-835-1000",
            "fax_number": "336-835-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "SWANN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-835-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404916",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Health Care, LLC (Asthma and Allergy Associates)
• Faye Elizabeth Corregan-Flippin
• Kaitlyn Nicole Costner, M.S, CF-SLP
• Michelle Watson Couch, MA, CCC-SLP
• Crossroads Behavioral Healthcare
• Javier Cruz, MD
• Shannon Leigh Culler, MSN, FNP-BC
• Noah Allen Dancy, PT, DPT
• Jacqueline Darcey, MD
• Darryl B. Rhyne, MD, PLLC

• Community/Behavioral Health Agency in Elkin, NC
• Providers in Elkin, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.