CROSSROADS, INC. (NPI# 1669698676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669698676 |
| Entity Type | Organization |
| Organization Name | CROSSROADS, INC. |
| Practice Address |
44 East Ramsdell St. New Haven CT 06515-1140 |
| Mailing Address |
44 E Ramsdell St New Haven CT 06515-1140 |
| Practice Telephone | 2033870094 |
| Practice Fax Number | 2039074513 |
| Mailing Telephone | 2033870094 |
| Mailing Fax Number | 2039074513 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-01-02 |
| Authorized Official Name | MR. CLIFFORD HARRIS SKOLNICK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2033870094 |
| Authorized Official Credential | M.S., B.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0402, 0336 | CT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | GENERAL ASSISTANCE | CTGA000503 | 01 |
| CT | 004238251 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649818501 | Crossroads, Inc. | Clinic/Center | 2002 E Osborn Rd Ste A, Phoenix, AZ 85016-7236 | 2019-12-11 |
| 1033579941 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 4201 N 16th St Ste 110, Phoenix, AZ 85016-5357 | 2016-03-04 |
| 1588980742 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 1632 E Flower St, Phoenix, AZ 85016-7115 | 2010-04-13 |
| 1730743659 | Crossroads, Inc. | Counselor | 1845 E Ocotillo Rd, Phoenix, AZ 85016-1150 | 2019-04-25 |
| 1376107292 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 7523 N 35th Ave, Phoenix, AZ 85051-7422 | 2019-04-25 |
| 1659935575 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 5116 E Thomas Rd, Phoenix, AZ 85018-7915 | 2019-04-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CROSSROADS, INC. | 1424 Houser Street, Muscatine, IA 52761 |
| Washington State Corporations | CROSSROADS, INC. | 2230 7th Ave, Seattle, WA 98121-1902 |
| Massachusetts Corporations | CROSSROADS, INC. | 24 Stub Toe Ln., Sudbury, MA 01776 |
| Connecticut Business Registrations | CROSSROADS, INC. OF MANCHESTER | Raymond Juleson, 329 Hackmatack St, Manchester, CT 06040 |
| Street Address |
44 EAST RAMSDELL ST. |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
| 1295136075 | Stephanie Silvestri | Social Worker | 63 Fountain Street, New Haven, CT 06515 | 2014-09-11 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1548551146 | Allyson Winzer | Speech-Language Pathologist | 901 Edgewood Ave, New Haven, CT 06515 | 2011-04-29 |
| 1326107376 | Jewish Family Service of New Haven Inc. | Clinic/Center | 1440 Whalley Ave, New Haven, CT 06515 | 2006-12-06 |
| 1710959101 | Traci D Nix | Psychologist | 194 Fountain St, New Haven, CT 06515 | 2006-02-01 |
| 1730298936 | Radiologic Assoc of Middletown PC | Radiology | 687 Campbell Ave, West Haven, CT 06515 | 2006-08-30 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1821599127 | Kyisha Kia Velazquez | Counselor | 446a Blake Street, Suite 200, New Haven, CT 06515-0651 | 2018-02-22 |
| Find all providers in zip 06515 | ||||
| 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 |
|---|---|---|---|---|
| 1164022943 | Now Counseling Services, LLC | Community/Behavioral Health | 178 Temple St Ste 209, New Haven, CT 06510-2601 | 2020-10-29 |
| 1649819442 | Still I Strive, LLC | Community/Behavioral Health | 15 Edgar St, New Haven, CT 06519-2318 | 2019-12-27 |
| 1073159372 | New Haven Therapy, LLC. | Community/Behavioral Health | 625 Central Ave Ste 1, New Haven, CT 06515-2168 | 2019-11-21 |
| 1316405947 | Kv Training and Consultation LLC | Community/Behavioral Health | 459 Orange St # 1, New Haven, CT 06511-6202 | 2019-03-02 |
| 1053895508 | Elm City Counseling | Community/Behavioral Health | 157 Church St # 1918, New Haven, CT 06510-2100 | 2018-09-20 |
| 1376097774 | Ijoma Okwuosa | Community/Behavioral Health | 66 Morris Ave, New Haven, CT 06512-4421 | 2016-08-15 |
| 1215391008 | Best Choice Home Health Care Inc | Community/Behavioral Health | 1840 State St, New Haven, CT 06517-3815 | 2016-04-08 |
| 1184097040 | Innovation In Education | Community/Behavioral Health | 342 Ellsworth Ave, New Haven, CT 06511-7103 | 2015-11-01 |
| 1366798118 | Jessica R Fay Lcsw LLC | Community/Behavioral Health | 14 Trumbull St, Suite 102, New Haven, CT 06511-6312 | 2012-07-31 |
| 1447488432 | St. Francis Home for Children Inc. | Community/Behavioral Health | 672 Congress Ave, New Haven, CT 06519-1215 | 2009-06-29 |
| Find all providers in NEW HAVEN | ||||
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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.