Crossroads Psychiatric Group, Pa
LBN: Crossroads Psychiatric Group, Pa
Crossroads Psychiatric Group, Pa is an health care organization with primary practice located at 600 Green Valley Rd Suite 204, Greensboro NC 27408-7722. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Crossroads Psychiatric Group, Pa can be contacted via phone (336) 292-1510, or through Cottle, Carey Gordon via phone (336) 292-1510.
Contact Information
Primary practice address
600 Green Valley Rd Suite 204
Greensboro NC 27408-7722
Phone: (336) 292-1510
Fax: (336) 292-0679
Website:
Authorized official contact:
Name: Cottle, Carey Gordon Doctor of Medicine (MD)
Phone: (336) 292-1510
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
NPI number | 1346301660 |
---|---|
LBN Legal business name | Crossroads Psychiatric Group, Pa |
DBA Doing business as | |
Authorized official | Cottle, Carey Gordon Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 12th, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346301660 | NPPES |
North Carolina | MEDICAID | 790270W |
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