CROSSROADS DIVERSIFIED SERVICES, INC. (NPI# 1295107233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295107233 |
| Entity Type | Organization |
| Organization Name | CROSSROADS DIVERSIFIED SERVICES, INC. |
| Practice Address |
3321 Power Inn Rd Suite 110 Sacramento CA 95826-3890 |
| Mailing Address |
9300 Tech Center Dr Suite 100 Sacramento CA 95826-2565 |
| Practice Telephone | 9168765677 |
| Practice Fax Number | 9168744639 |
| Mailing Telephone | 9164571900 |
| Mailing Fax Number | 9164574439 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | MR. DANNY MARQUEZ (DIRECTOR WORKFORCE DEVELOPMENT) |
| Authorized Official Telephone | 9164571900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3321 POWER INN RD SUITE 110 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95826-3890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801908470 | Pa K Vang | Marriage & Family Therapist | 3321 Power Inn Rd, Suite 110, Sacramento, CA 95826-3890 | 2006-08-31 |
| 1447756002 | Jill Ostrowski | Case Manager/Care Coordinator | 3321 Power Inn Rd, Sacramento, CA 95826-3890 | 2018-04-03 |
| 1285085290 | Nicole Marie Sanchez | Counselor | 3321 Power Inn Rd, #110, Sacramento, CA 95826-3890 | 2016-06-30 |
| 1679928741 | Monique Stallworth | Case Manager/Care Coordinator | 3321 Power Inn Rd, Ste. 110, Sacramento, CA 95826-3890 | 2016-04-26 |
| 1902263544 | Deserae Tabatha Freeny | Social Worker | 3321 Power Inn Rd, Sacramento, CA 95826-3890 | 2016-01-27 |
| 1477924868 | Leandrea Jones | Case Manager/Care Coordinator | 3321 Power Inn Rd, Ste 110, Sacramento, CA 95826-3890 | 2015-10-12 |
| 1124498191 | County of Sacramento | Clinic/Center | 3321 Power Inn Rd, Suite 110, Sacramento, CA 95826-3890 | 2015-10-02 |
| 1194195255 | Zenaida Agramonte | Social Worker | 3321 Power Inn Rd, Ste 110, Sacramento, CA 95826-3890 | 2015-10-01 |
| 1053704320 | County of Sacramento | Clinic/Center | 3321 Power Inn Rd, Suite 110, Sacramento, CA 95826-3890 | 2015-03-11 |
| 1619371853 | April Renee Williams | Peer Specialist | 3321 Power Inn Rd, Suite 110, Sacramento, CA 95826-3890 | 2014-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688094 | Brooke Oliver | Behavior Technician | Sacramento 8801 Folsom Blvd., Ste. 195, Sacramento, CA 95826 | 2020-01-10 |
| 1679126908 | Albert Einstein Middle School /sacramento City Unified School District | Local Education Agency (LEA) | 9325 Mirandy Drive, Albert Einstein Middle School, Sacramento, CA 95826 | 2019-07-16 |
| 1487146833 | Sarah Collins | Counselor | 4212 Westporter Dr, Sacramento, CA 95826 | 2018-06-01 |
| 1831609221 | Stacey Ann Moote | Behavior Technician | 8795 La Riviera Dr 169, 169, Sacramento, CA 95826 | 2017-10-11 |
| 1033649041 | Joseph Stephen Rapozo | Counselor | 3600 Power Inn Road, Sacramento, CA 95826 | 2017-06-13 |
| 1497201289 | Maureen Belli-bomgardner | Counselor | 3201 Florin Perkins Road, Sacramento, CA 95826 | 2016-08-31 |
| 1316317613 | Tlcs, Inc. | Community/Behavioral Health | 9342 Tech Center Drive, Ste.600, Sacramento, CA 95826 | 2015-09-29 |
| 1942683479 | Tlcs, Inc. | Community/Behavioral Health | 9333 Tech Center Drive, Ste. 100, Sacramento, CA 95826 | 2015-07-01 |
| 1881071157 | Rene Frentzen | Case Manager/Care Coordinator | 9394 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2015-05-06 |
| 1184026262 | Bojana Pandurevic | Marriage & Family Therapist | 9343 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2014-09-21 |
| Find all providers in zip 95826 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417580093 | Turning Point Community Programs | Community/Behavioral Health | 5417 Madison Ave, Sacramento, CA 95841-3164 | 2020-02-21 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| 1558907543 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite 102, Sacramento, CA 95825 | 2019-11-25 |
| 1912463852 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3800 Watt Ave., Suite 110, Sacramento, CA 95821-2622 | 2019-02-15 |
| 1902379068 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S. Street, Suite 101, Sacramento, CA 95811-6919 | 2019-01-10 |
| 1952883829 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave Suite 102, Sacramento, CA 95825 | 2018-09-06 |
| 1770088718 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S St Ste 101, Sacramento, CA 95811-6919 | 2018-03-29 |
| 1891299350 | R&c Holdings | Community/Behavioral Health | 1109 Roundtree Ct, Sacramento, CA 95831-2640 | 2018-03-20 |
| 1437657301 | Mending Hearts Mending Minds Inc | Community/Behavioral Health | 6524 44th Street, Sacramento, CA 95823-5667 | 2018-01-25 |
| 1902312838 | Lilliput Families | Community/Behavioral Health | 2750 Sutterville Rd # Cottage3, Sacramento, CA 95820-1024 | 2017-12-14 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95826 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.