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:
Map and Directions
Authorized official contact:
Name: Cottle, Carey Gordon Doctor of Medicine (MD)
Phone: (336) 292-1510

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346301660 NPPES
North Carolina MEDICAID 790270W

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