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CROSSROADS PSYCHOTHERAPY PC
NPI 1174704068
Community/Behavioral Health in Jackson, MI

Active since November 19, 2007
432 WILDWOOD AVE, JACKSON, MI 49201(517) 787-2251(517) 787-2879 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crossroads Psychotherapy Pc NPPES

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

CROSSROADS PSYCHOTHERAPY PC (NPI 1174704068) is a healthcare organization registered as a community/behavioral health in Jackson, Michigan and active in the NPI registry since November 2007. The organization lists David Ralph Krajewski, President, as its authorized official.

NPPES Registry Identity

NPI1174704068
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCROSSROADS PSYCHOTHERAPY PC
Location Address432 WILDWOOD AVEJackson, MI 49201-1148
Mailing Address432 Wildwood AveJackson, MI 49201-1148 · (517) 787-2251 · Fax (517) 787-2879
Phone(517) 787-2251
Fax(517) 787-2879
Organization SubpartNo
Authorized OfficialDavid Ralph KrajewskiPresident · (517) 787-2251
Enumeration DateNovember 19, 2007
Last NPPES UpdateMay 2, 2013
✔ NPI 1174704068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MI · 6801057593
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
432 WILDWOOD AVE, Jackson, MI 49201
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Other Identifiers 1

Medicare PIN0P07820MI

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARON O'BRIEN KOSZEGI M.A., L.L.P.
Psychologist (Clinical)
432 WILDWOOD AVE
JACKSON, MI 49201
Jackson County (517) 745-3186
MRS. BETH E VANDERWALKER LMSW
Social Worker (Clinical)
432 WILDWOOD AVE
JACKSON, MI 49201
Jackson County (517) 782-6674
MRS. PATRICIA MARIE BURBANK LPC
Counselor (Professional)
432 WILDWOOD AVE
JACKSON, MI 49201
Jackson County (517) 937-9321
NOETICUS COUNSELING SERVICES LLC
Community/Behavioral Health
432 WILDWOOD AVE
JACKSON, MI 49201
Jackson County (517) 262-2120

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 Psychotherapy PC's NPI number?

The NPI number for Crossroads Psychotherapy PC is 1174704068. It was assigned to this organization in the NPPES registry on November 19, 2007.

Where is Crossroads Psychotherapy PC located?

Crossroads Psychotherapy PC is located at 432 Wildwood Ave, Jackson, MI 49201. The listed phone number is (517) 787-2251.

What is Crossroads Psychotherapy PC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Crossroads Psychotherapy PC was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.