CROSSROADS TREATMENT CENTER OF WINCHESTER, PC (NPI# 1750823043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750823043 |
| Entity Type | Organization |
| Organization Name | CROSSROADS TREATMENT CENTER OF WINCHESTER, PC |
| Practice Address |
500 Pegasus Ct Winchester VA 22602 |
| Mailing Address |
500 Pegasus Ct Winchester VA 22602-4596 |
| Practice Telephone | 5403134196 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2018-07-16 |
| Authorized Official Name | DR. RUPERT J. MCCORMAC IV (CEO) |
| Authorized Official Telephone | 8287192753 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
500 PEGASUS CT |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061448 | Amanda Lynn Graham | Licensed Practical Nurse | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2020-10-21 |
| 1790397867 | Julia L Laurent | Counselor | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2020-08-20 |
| 1699334136 | Jamie Lee Doherty | Licensed Practical Nurse | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2019-06-09 |
| 1508332198 | Steven Martin Dowdy | Counselor | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2018-10-22 |
| 1861979429 | Deborah Zdan | Counselor | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2018-07-25 |
| 1982181541 | Denis Ibarra | Counselor | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2018-07-25 |
| 1912401563 | Tara Briggs | Licensed Practical Nurse | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2018-03-20 |
| 1184128738 | Kimberly Locke | Licensed Practical Nurse | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2018-03-20 |
| 1063916617 | Lisa Dodson | Licensed Practical Nurse | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2018-03-20 |
| 1720582380 | Krystal Reedy | Licensed Practical Nurse | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689225534 | Tracey Lynn Graham | Nurse Practitioner | 202 Heath Ct, Winchester, VA 22602 | 2019-09-23 |
| 1104341197 | Ashley Grooms | Occupational Therapist | 183 Shields Dr, Winchester, VA 22602 | 2017-08-10 |
| 1275053183 | Im Just Me Movement | Local Education Agency (LEA) | 100 Asbury Ct, Winchester, VA 22602 | 2017-06-21 |
| 1114399243 | Guardianlight of Northwestern Va Incorporated | Home Health | 3343 Valley Ave, Unit # 700, Winchester, VA 22602 | 2015-10-28 |
| 1679876171 | Medics Usa Medical Center | Clinic/Center | 290 Front Royal Pike, Winchester, VA 22602 | 2010-12-06 |
| 1679667216 | Rebecca Sue Isenhower | Psychologist | 174 Costello Drive, Winchester, VA 22602 | 2006-10-03 |
| 1548278310 | Brandon Terry Jennings | Pharmacist | 109 Lynnehaven Dr, Winchester, VA 22602 | 2006-08-04 |
| 1386690428 | Alla Yurievna Golovkina-hynes | Ophthalmology | 158 Front Royal Pike Ste 303, Winchester, VA 22602 | 2006-05-26 |
| 1174572283 | Abel C Borromeo V | Chiropractor | 125 Prosperity Dr, Suite 600, Winchester, VA 22602 | 2006-05-08 |
| 1023617859 | Galax Treatment Center, LLC | Clinic/Center | 290 Front Royal Pike, Winchester, VA 22602 | 2020-10-22 |
| Find all providers in zip 22602 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205259801 | Ars of Virginia LLC | Clinic/Center | 210 Front Royal Pike, Winchester, VA 22602-7313 | 2014-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573585 | Culpeper Treatment Services LLC | Clinic/Center | 571 James Madison Hwy Ste D, Culpeper, VA 22701-2367 | 2020-06-24 |
| 1154967214 | Intergrated Medical Services, LLC | Clinic/Center | 7511 Donset Ct, Manassas, VA 20109-6200 | 2019-11-25 |
| 1871136143 | Apex Treatment Centers | Clinic/Center | 1230 Alverser Dr Ste 101, Midlothian, VA 23113-2653 | 2019-10-19 |
| 1598306649 | Catalyst Recovery and Wellness LLC | Clinic/Center | 9309 Center St Ste 101, Manassas, VA 20110-5599 | 2019-09-30 |
| 1073164539 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 416 E Main St Rm 2, Marion, VA 24354-3318 | 2019-09-26 |
| 1134783194 | First Step Medical LLC | Clinic/Center | 754 East Main St., Lebanon, VA 24266-5014 | 2019-04-25 |
| 1740844067 | Appalachian Medical Associates LLC | Clinic/Center | 5453 Gov. G.c. Peery Hwy, Suite 1, Raven, VA 24639 | 2019-04-23 |
| 1386118248 | Pinnacle Treatment Centers Va-ii, LLC | Clinic/Center | 5408 Woolshire Dr, Glen Allen, VA 23059-3412 | 2019-01-14 |
| 1205306537 | Applegate Health Services, Inc | Clinic/Center | 210 Professional Park Dr Se Ste 9, Blacksburg, VA 24060-6649 | 2018-11-29 |
| 1881132231 | Cmb Holdings | Clinic/Center | 4420 Fairfax Dr, Suite 100, Arlington, VA 22203-1645 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
| City | WINCHESTER |
| Zip Code | 22602 |
Please comment or provide details below to improve the information on CROSSROADS TREATMENT CENTER OF WINCHESTER, PC.
| 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.