Crossroads Treatment Center of Plymouth, PC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

CROSSROADS TREATMENT CENTER OF PLYMOUTH, PC

Practice address

116 Long Pond Rd Ste 2-3
Plymouth, MA 02360-2663

Phone

(774) 773-3905

Fax

(774) 773-9623

NPI assigned

Oct 10, 2017

Last updated

Mar 28, 2018By 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

Rupert McCormac IV, MD

Title

President

Phone

(864) 527-3145

Specialties & licenses 2

Addresses

Locations

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.

• Nancy Elliot Toellner

  • Addiction (Substance Use Disorder) Counselor
  • Plymouth, MA
  • NPI 1437666112
  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1750891396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BEATTIE PL STE 810",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012191",
            "telephone_number": "864-527-3145",
            "fax_number": "864-990-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LONG POND RD STE 2-3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602663",
            "telephone_number": "774-773-3905",
            "fax_number": "774-773-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS TREATMENT CENTER OF PLYMOUTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "MCCORMAC",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-527-3145",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine May Crosby-Norton, FNP-BC
• Aidan Joseph Crosby
• John Christian Michael Crosby, BCBA, LABA
• Linda Diane Crosby, FAMILY PARTNER
• Sarah Elizabeth Crosby
• Lisa Crowley, M.S.
• Andrea Medeiros Cruz, LCSW
• Maria E. Cruz, LICSW
• Ctr Counseling
• Lorenz B Cueni, M.D.

• Methadone Clinic in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Methadone Clinic in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.