NPIMap

Organization Active NPI

Crossroads Integrated Care Osborn

Doing business as Crossroads 360 Community Care Clinic-Osborn

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1649818501
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CROSSROADS INTEGRATED CARE OSBORN
Doing business as
Crossroads 360 Community Care Clinic-Osborn
Practice address
2002 E Osborn Rd
Phoenix, AZ 85016-7236
Phone
(602) 263-5242
Fax
(602) 595-4434
NPI assigned
Dec 11, 2019
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CROSSROADS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Chris Riley
Title
Executive Director
Phone
(602) 263-5242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2002 E Osborn Rd
Phoenix, AZ 85016-7236

Mailing address

2002 E Osborn Rd Ste a
Phoenix, AZ 85016-7236
Phone (602) 263-5242

Other names 1

  • Crossroads 360 Community Care Clinic-Osborn Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2176604Crossroads 360 Community Care Clinic-Osborn2002 E Osborn Rd, Phoenix, AZ 85016Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Inc - Integrated Health Care - Extension28 organizations share this tax ID, including this one
Part of
Crossroads Inc - Integrated Health Care - Extension

Other organizations with this tax ID 27

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

View all 27

Locations

2002 E Osborn Rd
Ste A
Phoenix, AZ 85016

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1649818501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 E OSBORN RD STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167236",
            "telephone_number": "602-263-5242",
            "fax_number": "602-595-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 E OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167236",
            "telephone_number": "602-263-5242",
            "fax_number": "602-595-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS INTEGRATED CARE OSBORN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSSROADS, INC.",
        "enumeration_date": "2019-12-11",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-263-5242"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads 360 Community Care Clinic-Osborn",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads 360 Community Care Clinic-Osborn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.