Crossroads Family Services II, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

510-14-001 Issued in VA

Legal business name

CROSSROADS FAMILY SERVICES II, LLC

Practice address

2602 Lincoln St
Portsmouth, VA 23704-4245

Phone

(757) 399-5800

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Tonya Young

Title

Ceo

Phone

(757) 285-5562

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Crossroads Family Services II LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Crossroads Family Services II LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Portsmouth, VA
  • NPI 1730351925
  NPD tax ID

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972514016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10084",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235130084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 LINCOLN ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044245",
            "telephone_number": "757-399-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY SERVICES II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-285-5562"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "VA",
            "license": "510-14-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Dager Cronyn, M.D.
• Chante Cross, M.A.
• Nichole Cross, LMT, MMT
• Tracy Cross
• Crossroads Family Services II LLC
• Nicola Crouch
• Debra Tooke Crowell, RN, CNM
• Doris Jean Cruea, LCSW
• Frederick C Crum, MD
• Erica Katherine Crump, M.D.

• Psychiatric Residential Treatment Facility in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Psychiatric Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.