CROSSROADS TREATMENT CENTER OF PETERSBURG
NPI 1699218669
Clinic/Center - Rehabilitation, Substance Use Disorder in South Prince George, VA

NPI Status: Active since November 23, 2016

Contact Information

10543 S CRATER RD
SOUTH PRINCE GEORGE, VA
ZIP 23805
Phone: (800) 805-6989

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Authorized Official
Areas of Expertise
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation, Substance Use Disorder

About CROSSROADS TREATMENT CENTER OF PETERSBURG

This page provides the complete NPI Profile along with additional information for Crossroads Treatment Center Of Petersburg, a provider established in South Prince George, Virginia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1699218669 assigned on November 2016. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Crossroads Treatment Center Of Petersburg. The authorized official of this NPI record is Dr. Rupert J. Mccormac Iv Md (Ceo)

NPI: 1699218669
Provider Legal Name: CROSSROADS TREATMENT CENTER OF PETERSBURG, PC
Other Organization Name: CROSSROADS TREATMENT CENTER OF PETERSBURG
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 10543 S CRATER RD SOUTH PRINCE GEORGE, VA 23805
Location Phone: (800) 805-6989
Mailing Address: PO BOX 749057 ATLANTA, GA 30374
Mailing Phone: (800) 805-6989
Mailing Fax
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-23-2016
Last Update Date: 09-03-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Rehabilitation, Substance Use Disorder
Taxonomy Code: 261QR0405X
Type: Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	251S00000X	Agencies	Community/Behavioral Health
2	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center Mental Health (Including Community Mental Health Center)
3	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center Multi-Specialty
4	261QM2800X	Ambulatory Health Care Facilities	Clinic/Center Methadone
5	261QP2300X	Ambulatory Health Care Facilities	Clinic/Center Primary Care

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. RUPERT J. MCCORMAC IV MD
Authorized Official Title: CEO
Authorized Official Phone: (800) 805-6989

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699218669, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 16 → 1 + 6

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 4 + 1 + 1 + 6 + 6 + 1 + 2 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9

This NPI is valid

The calculated check digit is 9, which matches the last digit of 1699218669.