NPIMap

Organization Active NPI

Crosspoint Clinical Services, Inc

  • Clinical Social Worker
  • West Springfield, MA
National Provider Identifier
1740534775
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114156 Issued in MA
Legal business name
CROSSPOINT CLINICAL SERVICES, INC
Practice address
117 Park Ave
Suite 205
West Springfield, MA 01089-3326
Phone
(413) 588-8550
NPI assigned
Oct 29, 2012
Last updated
Mar 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Mr. Mark Jimerson, LICSWNPI 1649317041
Title
Treasurer/Director of Operations
Phone
(413) 636-5691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 114156 MA Primary

Addresses

Primary practice location

117 Park Ave
Suite 205
West Springfield, MA 01089-3326

Mailing address

117 Park Ave
Suite 205
West Springfield, MA 01089-3326
Phone (413) 636-5691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160808001903 MA Part B Supplier - Clinic/Group Practice 8921392317 Receives reassigned benefits from 20 practitioners
Practice locations: West Springfield, MA

National Provider Directory

National Provider Directory

Locations

117 Park Ave
Ste 201A
West Springfield, MA 01089
Phone (413) 732-7677

117 Park Ave
Ste 205
West Springfield, MA 01089
Phone (413) 732-7677

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1740534775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PARK AVE",
            "address_2": "SUITE 205",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893326",
            "telephone_number": "413-636-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PARK AVE",
            "address_2": "SUITE 205",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893326",
            "telephone_number": "413-588-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSPOINT CLINICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "JIMERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "413-636-5691",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.