NPIMap

Organization Active NPI

Crossroads Institute for Psychotherapy and Assessment, Inc

  • Clinical Psychologist
  • Torrance, CA
National Provider Identifier
1831432806
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CROSSROADS INSTITUTE FOR PSYCHOTHERAPY AND ASSESSMENT, INC
Practice address
2601 Airport Dr
Suite 135
Torrance, CA 90505-6140
Phone
(424) 201-1600
Fax
(424) 201-1601
NPI assigned
Mar 28, 2013
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Soni Kim Monroe, PSY.D.
Title
President
Phone
(424) 201-1600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU

Addresses

Primary practice location

2601 Airport Dr
Suite 135
Torrance, CA 90505-6140

Mailing address

2601 Airport Dr
Suite 135
Torrance, CA 90505-6140
Phone (424) 201-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141120001200 CA Part B Supplier - Clinic/Group Practice 9638391949 Receives reassigned benefits from 12 practitioners
Practice locations: Los Angeles, CA; Torrance, CA; Irvine, CA

National Provider Directory

National Provider Directory

Locations

19762 MacArthur Blvd
Ste 120
Irvine, CA 92612
Phone (424) 201-1600

3353 Linden Ave
Ste 201
Long Beach, CA 90807
Phone (424) 201-1600

3363 Linden Ave
Ste C
Long Beach, CA 90807
Phone (424) 201-1600

1000 Wilshire Blvd
Ste 240
Los Angeles, CA 90017
Phone (424) 201-1600

Practitioners & affiliated clinicians

Practitioners 41

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 41

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1831432806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 AIRPORT DR",
            "address_2": "SUITE 135",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056140",
            "telephone_number": "424-201-1600",
            "fax_number": "424-201-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 AIRPORT DR",
            "address_2": "SUITE 135",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056140",
            "telephone_number": "424-201-1600",
            "fax_number": "424-201-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS INSTITUTE FOR PSYCHOTHERAPY AND ASSESSMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "SONI",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-201-1600",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.