1. Home
  2. Directory
  3. Hawaii
  4. Kapolei
  5. Psychologist
  6. NPI Profile

CROSSROADS BEHAVIORAL HEALTH, INC.
NPI 1013414770
Psychologist - Clinical in Kapolei, HI

Active since April 10, 2018
91-1010 SHANGRILA ST STE 105, KAPOLEI, HI 96707(808) 377-4300 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2019, Mar 5, 2019, Apr 10, 2018 (3 updates tracked since 2018).

About Crossroads Behavioral Health, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROADS BEHAVIORAL HEALTH, INC. (NPI 1013414770) is a healthcare organization registered as a clinical in Kapolei, Hawaii and active in the NPI registry since April 2018. The organization lists Robert E Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1013414770
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCROSSROADS BEHAVIORAL HEALTH, INC.
Location Address91-1010 SHANGRILA ST STE 105Kapolei, HI 96707-2176
Mailing AddressPo Box 701089Kapolei, HI 96709-1089 · (808) 294-3493
Phone(808) 377-4300
Organization SubpartNo
Authorized OfficialRobert E JacksonPresident · (808) 294-3493
Enumeration DateApril 10, 2018
Last NPPES UpdateMarch 13, 20193 updates tracked since enumeration
✔ NPI 1013414770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in HI · PSY809
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
91-1010 SHANGRILA ST STE 105, Kapolei, HI 96707
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crossroads Behavioral Health, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Crossroads Behavioral Health, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Andrew Gold, PH.D.
Clinical Psychologist
NPI 1972903136
91-1010 SHANGRILA ST STE 105
Kapolei, HI 96707
(808) 377-4300
✔ PECOS✔ Accepts MedicareSame address
Robert Jackson, PH.D.
Clinical Psychologist
NPI 1245219849
91-1010 SHANGRILA ST STE 105
Kapolei, HI 96707
(808) 377-4300
✔ PECOS✔ Accepts MedicareSame address
Janna Madeira, PSY.D.
Clinical Psychologist
NPI 1194039230
91-1010 SHANGRILA ST STE 105
Kapolei, HI 96707
(808) 377-4300
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroads Behavioral Health, Inc.'s NPI number?

The NPI number for Crossroads Behavioral Health, Inc. is 1013414770. It was assigned to this organization in the NPPES registry on April 10, 2018.

Where is Crossroads Behavioral Health, Inc. located?

Crossroads Behavioral Health, Inc. is located at 91-1010 Shangrila St Ste 105, Kapolei, HI 96707. The listed phone number is (808) 377-4300.

What is Crossroads Behavioral Health, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Crossroads Behavioral Health, Inc. enrolled in Medicare?

Yes. Crossroads Behavioral Health, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crossroads Behavioral Health, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Crossroads Behavioral Health, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crossroads Behavioral Health, Inc. was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.