CROSSROADS COMMUNITY, INC. (NPI# 1821548918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821548918 |
| Entity Type | Organization |
| Organization Name | CROSSROADS COMMUNITY, INC. |
| Practice Address |
937 Gateway Dr Chestertown MD 21620-3362 |
| Mailing Address |
120 Banjo Ln Centreville MD 21617-1002 |
| Practice Telephone | 4107789200 |
| Practice Fax Number | 4107789622 |
| Mailing Telephone | 4107583050 |
| Mailing Fax Number | 4107581223 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | MR. JOHN F. PLASKON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4107583050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 5275 | MD | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346569134 | Crossroads Community, Inc. | Community/Behavioral Health | 404 Lecompte St, Cambridge, MD 21613-2437 | 2010-05-19 |
| 1043549611 | Crossroads Community, Inc. | Community/Behavioral Health | 937 Gateway Dr, Chestertown, MD 21620-3362 | 2009-12-10 |
| 1245877182 | Crossroads Community, Inc. | Community/Behavioral Health | 120 Banjo Ln, Centreville, MD 21617-1002 | 2019-12-10 |
| 1871130716 | Crossroads Community, Inc. | Community/Behavioral Health | 404 Lecompte St, Cambridge, MD 21613-2437 | 2019-12-10 |
| 1780221622 | Crossroads Community, Inc. | Community/Behavioral Health | 937 Gateway Dr, Chestertown, MD 21620-3362 | 2019-12-10 |
| 1568912657 | Crossroads Community, Inc. | Community/Behavioral Health | 120 Banjo Ln, Centreville, MD 21617-1002 | 2016-10-12 |
| 1730639824 | Crossroads Community, Inc. | Community/Behavioral Health | 404 Lecompte St, Cambridge, MD 21613-2437 | 2016-10-12 |
| 1437517000 | Crossroads Community, Inc. | Community/Behavioral Health | 120 Banjo Ln, Centreville, MD 21617-1002 | 2016-02-10 |
| 1609085976 | Crossroads Community, Inc. | Case Management | 120 Banjo Ln, Centreville, MD 21617-1002 | 2007-05-22 |
| 1871701391 | Crossroads Community, Inc. | Community/Behavioral Health | 120 Banjo Ln, Centreville, MD 21617-1002 | 2007-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CROSSROADS COMMUNITY, INC. | 120 Banjo Lane, Centreville, MD 21617-1002 |
| Street Address |
937 GATEWAY DR |
| City | CHESTERTOWN |
| State | MD |
| Zip Code | 21620-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043549611 | Crossroads Community, Inc. | Community/Behavioral Health | 937 Gateway Dr, Chestertown, MD 21620-3362 | 2009-12-10 |
| 1780221622 | Crossroads Community, Inc. | Community/Behavioral Health | 937 Gateway Dr, Chestertown, MD 21620-3362 | 2019-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396236824 | Fletcher Darby Johnson | Health Educator | 813 High Street, Chestertown, MD 21620 | 2018-05-21 |
| 1134583818 | Chestertown Physical Therapy | Occupational Therapist | 200 Mognec Road, Chestertown, MD 21620 | 2016-04-08 |
| 1871993436 | Julia Belanger | Family Medicine | 126 Philosophers Ter Ste 200, Chestertown, MD 21620 | 2014-09-01 |
| 1841536307 | Michael C. Hickman | Physical Therapy Assistant | 415 Morgnec Rd., Chestertown, MD 21620 | 2013-01-02 |
| 1083854715 | For All Seasons, Inc. | Social Worker | 516 Washingston St, Chestertown, MD 21620 | 2009-02-20 |
| 1588810972 | Dhmh Upper Shore Community Mental Health | Psychiatric Hospital | 300 Scheeler Road, Chestertown, MD 21620 | 2008-08-18 |
| 1912153784 | Edwin Tom Taylor | Pediatrics | 100 Brown Street Med Ser Bldg Ste 107, Chestertown, MD 21620 | 2008-08-13 |
| 1083884613 | Danielle Latricia Gomer | Clinic/Center | 606 Cannon Street, Chestertown, MD 21620 | 2008-03-11 |
| 1821276320 | James Robert Siemen | Psychologist | 300 Sheeler Road, Chestertown, MD 21620 | 2008-02-06 |
| 1326223504 | Roseannette C Cooper | Acupuncturist | 311 Rosin Drive, Chestertown, MD 21620 | 2008-01-07 |
| Find all providers in zip 21620 | ||||
| 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 |
|---|---|---|---|---|
| 1043549611 | Crossroads Community, Inc. | Community/Behavioral Health | 937 Gateway Dr, Chestertown, MD 21620-3362 | 2009-12-10 |
| 1780221622 | Crossroads Community, Inc. | Community/Behavioral Health | 937 Gateway Dr, Chestertown, MD 21620-3362 | 2019-12-10 |
| 1700235199 | Community Behavioral Health, LLC | Community/Behavioral Health | 400 S Cross St, Chestertown, MD 21620-4752 | 2016-06-07 |
| 1093164766 | Eastern Shore Psychological Services, LLC | Community/Behavioral Health | 315 High St Ste 201, Chestertown, MD 21620-1350 | 2016-06-03 |
| 1417171372 | Kent Co. Medical Adult Day Care | Community/Behavioral Health | 125 S Lynchburg St, Chestertown, MD 21620-1146 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1154921682 | Neo Health Care Services, Inc. | Community/Behavioral Health | 110 Painters Mill Rd Ste 108, Owings Mills, MD 21117-5545 | 2020-10-26 |
| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
| 1194324772 | Strength, Courage & Wisdom Behavioral Health | Community/Behavioral Health | 301 Main St Ste 2c, Reisterstown, MD 21136-1957 | 2020-10-23 |
| 1386243194 | Hands of Hope Therapeutic Services LLC | Community/Behavioral Health | 1123 State Route 3 N Ste 189, Gambrills, MD 21054-1715 | 2020-10-22 |
| 1568060630 | Miso Medical Center | Community/Behavioral Health | 14300 Cherry Lane Ct Ste 109, Laurel, MD 20707-4978 | 2020-10-12 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1588270821 | Windward LLC | Community/Behavioral Health | 731 Old Herald Harbor Rd, Crownsville, MD 21032-1524 | 2020-09-22 |
| 1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
| 1962016147 | One Step Closer Psychiatric Rehabilitation Program | Community/Behavioral Health | 8118 Harford Rd Ste E, Parkville, MD 21234-5725 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERTOWN |
| Zip Code | 21620 |
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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.