CROSSROADS PSYCHOLOGICAL ASSOCIATES LLC
NPI 1285814079
Psychologist in Columbia, MD

Active since November 08, 2007
10784 HICKORY RIDGE RD, COLUMBIA, MD 21044(410) 964-0425(410) 964-0515 Get Directions Write a Review

NPPES record last updated: March 3, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Crossroads Psychological Associates Llc NPPES

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

CROSSROADS PSYCHOLOGICAL ASSOCIATES LLC (NPI 1285814079) is a healthcare organization registered as a psychologist in Columbia, Maryland and active in the NPI registry since November 2007. The organization lists Susan Stacy, Administrator, as its authorized official.

NPPES Registry Identity

NPI1285814079
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCROSSROADS PSYCHOLOGICAL ASSOCIATES LLC
Location Address10784 HICKORY RIDGE RDColumbia, MD 21044-3646
Mailing Address10784 Hickory Ridge RdColumbia, MD 21044-3646 · (410) 964-0425 · Fax (410) 964-0515
Fax(410) 964-0515
Organization SubpartNo
Authorized OfficialSusan StacyAdministrator · (410) 964-0425
Enumeration DateNovember 8, 2007
Last NPPES UpdateMarch 3, 2010
✔ NPI 1285814079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
10784 HICKORY RIDGE RD, Columbia, MD 21044

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 Psychological Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Crossroads Psychological Associates LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Psychiatry
NPI 1073511226
10784 HICKORY RIDGE RD
Columbia, MD 21044
(410) 964-0425
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1164418380
10774 HICKORY RIDGE RD
Columbia, MD 21044
(410) 992-7288
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316288699
6700 WISCONSIN AVE
Bethesda, MD 20815
(301) 656-1358
✔ PECOS✔ Accepts Medicare20 mi
Psychiatry
NPI 1043316094
20905 PROFESSIONAL PLZ SUITE 220
Ashburn, VA 20147
(703) 858-9841
✔ PECOS✔ Accepts Medicare35 mi

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 Psychological Associates LLC's NPI number?

The NPI number for Crossroads Psychological Associates LLC is 1285814079. It was assigned to this organization in the NPPES registry on November 8, 2007.

Where is Crossroads Psychological Associates LLC located?

Crossroads Psychological Associates LLC is located at 10784 Hickory Ridge Rd, Columbia, MD 21044. The listed phone number is (410) 964-0425.

What is Crossroads Psychological Associates LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Crossroads Psychological Associates LLC enrolled in Medicare?

Yes. Crossroads Psychological Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crossroads Psychological Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Crossroads Psychological Associates LLC, in Clinical Social Worker, Nurse Practitioner and Psychiatry. 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, 2 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 Psychological Associates LLC was last updated on March 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.