Provider Demographics
NPI:1174321483
Name:CROSSROADS PSYCHIATRY
Entity type:Organization
Organization Name:CROSSROADS PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KOURTNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-703-5026
Mailing Address - Street 1:3833 S STAPLES ST STE N215
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5210
Mailing Address - Country:US
Mailing Address - Phone:361-703-5026
Mailing Address - Fax:361-703-5394
Practice Address - Street 1:3833 S STAPLES ST STE N215
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5210
Practice Address - Country:US
Practice Address - Phone:361-703-5026
Practice Address - Fax:361-703-5394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty