CROSSROADS RECOVERY CENTER (NPI# 1396251229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396251229 |
| Entity Type | Organization |
| Organization Name | CROSSROADS RECOVERY CENTER |
| Practice Address |
155 Main St Salem NH 03079-3196 |
| Practice Telephone | 6034757833 |
| Mailing Telephone | 6034757833 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | MR. THOMAS E DONOVAN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6034757833 |
| Authorized Official Credential | LCMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
155 MAIN ST |
| City | SALEM |
| State | NH |
| Zip Code | 03079-3196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548745789 | Sarah Suzanne Markell | Nurse Practitioner | 155 Main St, Salem, NH 03079-3196 | 2018-10-02 |
| 1093187411 | Jessica Ann Stevenson | Counselor | 155 Main St, Salem, NH 03079-3196 | 2015-10-25 |
| 1578809877 | Cheryl Laurenza | Counselor | 155 Main St, Salem, NH 03079-3196 | 2012-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1205058567 | Maryville, Inc. | Clinic/Center | 567 Salem-quinton Rd, Salem, NJ 08079 | 2007-05-03 |
| 1336287010 | Seasons Counseling, Inc | Clinic/Center | 730 Hawthorne Ave Ne, Salem, OR 97301-4674 | 2007-02-02 |
| 1578528915 | Pacific Recovery Inc | Clinic/Center | 1235 Woodrow Ne, Salem, OR 97303 | 2006-04-19 |
| 1710462981 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 75 Market St, Salem, NJ 08079-1918 | 2018-10-03 |
| 1013363910 | Jd Health and Wellness Center | Clinic/Center | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2016-05-10 |
| 1104163658 | Services To Overcome Drug Abuse Among Teenagers | Clinic/Center | 75 Market St, Salem, NJ 08079-1918 | 2013-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015788 | Ryan Gagne | Clinic/Center | 881 Marlboro Rd, Keene, NH 03431-5617 | 2020-02-18 |
| 1174176861 | Dartmouth-hitchcock Clinic | Clinic/Center | 24 Railroad St, Keene, NH 03431-3744 | 2019-07-22 |
| 1124681846 | Dartmouth-hitchcock Clinic | Clinic/Center | 85 Mechanic St Ste B3-1, Lebanon, NH 03766-1537 | 2019-04-18 |
| 1811383276 | Life Services for Recovery, LLC | Clinic/Center | 491 Amherst St Unit 105, Nashua, NH 03063-1259 | 2015-04-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1447649538 | Steps Opioid Addiction Treatment | Clinic/Center | 575 South Willow St, Suite 208, Manchester, NH 03103 | 2015-01-13 |
| 1134745284 | Concentric Counseling, Pllc | Clinic/Center | 4 Bicentennial Sq Unit 2b, Concord, NH 03301-4069 | 2020-06-24 |
| 1598302523 | Melyssa Manock, Msw, Mladc, LLC | Clinic/Center | 6 Chenell Dr, Concord, NH 03301-8514 | 2019-12-10 |
| 1881257590 | Cheshire Medical Center | Clinic/Center | 640 Marlboro St, Keene, NH 03431-4049 | 2019-04-18 |
| 1457883779 | Destinations Wellness, LLC. | Clinic/Center | 33 Main St, Suite 501, Nashua, NH 03064-2776 | 2017-03-28 |
| Find all providers with the same taxonomy | ||||
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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.