CREATIVE HEALTH SERVICES INC (NPI# 1417110222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417110222 |
Entity Type | Organization |
Organization Name | CREATIVE HEALTH SERVICES INC |
Practice Address |
11 Robinson St Pottstown PA 19464-6439 |
Mailing Address |
11 Robinson St Pottstown PA 19464-6421 |
Practice Telephone | 4849410500 |
Practice Fax Number | 4849410515 |
Mailing Telephone | 4849410500 |
Mailing Fax Number | 4849410515 |
Enumeration Date | 2008-07-02 |
Last Update Date | 2019-03-01 |
Authorized Official Name | DR. P ANDREW TRENTACOSTE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4849410500 |
Authorized Official Credential | PHY D MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | Agencies | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 100751163 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093272585 | Creative Health Services Inc | Clinic/Center | 180 W Germantown Pike Ste 1, East Norriton, PA 19401-1378 | 2019-02-21 |
1487721635 | Creative Health Services Inc | Psychiatry & Neurology | 452 Penn St, Pennsburg, PA 18073-1106 | 2006-11-30 |
1952478208 | Creative Health Services Inc | Psychiatry & Neurology | 321 N Furnace St Ste 40, Birdsboro, PA 19508-2061 | 2006-11-30 |
1508933656 | Creative Health Services Inc | Psychiatry & Neurology | Fifth Street and Montgomer, Boyertown Professional Center, Boyertown, PA 19512 | 2006-11-30 |
1619043981 | Creative Health Services Inc | Psychiatry & Neurology | 1 Mennonite Church Rd, Spring City, PA 19475-1518 | 2006-11-28 |
1013170174 | Creative Health Services Inc | Case Management | 11 Robinson St, Pottstown, PA 19464-6439 | 2008-07-08 |
Street Address |
11 ROBINSON ST |
City | POTTSTOWN |
State | PA |
Zip Code | 19464-6439 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609868462 | Barbara Laverghetta | Nurse Practitioner | 11 Robinson St, Pottstown, PA 19464-6439 | 2005-08-18 |
1467053256 | Rory Joseph Mcnicholl | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-11-06 |
1396346896 | Jenna Freyman | Social Worker | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-11-03 |
1518567700 | Kaitlin Mary Mayson | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-10-28 |
1104425362 | Bruce J Moll | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-10-20 |
1063010114 | Malachi Hurt-ramsey | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-10-12 |
1396352696 | Jennifer L Hutson | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-09-30 |
1497362115 | David Andrew Lintvedt | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-09-27 |
1396351862 | Kimberly Lois Carlile | Registered Nurse | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-09-21 |
1437764701 | Miranda Miller | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-09-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
Find all providers in zip 19464 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215455969 | Perspective Counseling for Behavioral Health, LLC | Clinic/Center | 152 E High St Ste 440, Pottstown, PA 19464-9543 | 2017-09-01 |
1104185446 | Resource for Human Development | Clinic/Center | 100 Porter Rd, Suite 200, Pottstown, PA 19464-3240 | 2012-05-07 |
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1376153940 | Nami Erie County Pa | Clinic/Center | 1611 Peach St Ste 218, Erie, PA 16501-2121 | 2020-08-07 |
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1053937664 | Theosis Therapeutic Counseling | Clinic/Center | 982 E Pine St, Palmyra, PA 17078-2821 | 2020-06-19 |
1366065633 | Let's Talk Counseling, LLC | Clinic/Center | 510 Springfield Rd, Aldan, PA 19018-4227 | 2020-05-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.