National Provider Identifier Database

CROSSROADS BEHAVIORAL HEALTH INC
Clinical

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.


Contact Information

CROSSROADS BEHAVIORAL HEALTH, INC.
91-1010 SHANGRILA ST STE 105
KAPOLEI, HI96707-2176
Phone: 808-377-4300
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Child & Adolescent Psychiatry 2084P0804X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for CROSSROADS BEHAVIORAL HEALTH, INC.

NPI Number 1013414770
Legal business name
LBN
CROSSROADS BEHAVIORAL HEALTH, INC.
Authorized official ROBERT JACKSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/10/2018
Last updated 03/13/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • HI License #: PSY809

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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