Crossroads, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0402, 0336 Issued in CT

Legal business name

CROSSROADS, INC.

Practice address

44 East Ramsdell St.
New Haven, CT 06515-1140

Phone

(203) 387-0094

Fax

(203) 907-4513

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Clifford Harris Skolnick, M.S., B.S.W.

Title

Executive Director

Phone

(203) 387-0094

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1669698676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E RAMSDELL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151140",
            "telephone_number": "203-387-0094",
            "fax_number": "203-907-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 EAST RAMSDELL ST.",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151140",
            "telephone_number": "203-387-0094",
            "fax_number": "203-907-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-387-0094",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., B.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "0402, 0336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL ASSISTANCE",
            "identifier": "CTGA000503",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004238251",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Danielle Crittenden, MD
• Kasey Garland Crockett, MD
• Mary Crooks
• Lisa Warren Cross, PH.D.
• Sarah N Cross, MD
• Damian Crow, MD
• Jett Crowdis, MD
• Jason Crowell, LADC/LMSW
• Angela A Crowley, PHD APRN BC PNP
• Deborah Malatesta Crowley, LCSW

• Community/Behavioral Health Agency in New Haven, CT
• Providers in New Haven, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.