CREATIVE HEALTH SERVICES INC (NPI# 1619043981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619043981 |
Entity Type | Organization |
Organization Name | CREATIVE HEALTH SERVICES INC |
Practice Address |
1 Mennonite Church Rd Spring City PA 19475-1518 |
Mailing Address |
11 Robinson St Pottstown PA 19464-6421 |
Practice Telephone | 6109486490 |
Practice Fax Number | 6104740011 |
Mailing Telephone | 4849410500 |
Mailing Fax Number | 4849410515 |
Enumeration Date | 2006-11-28 |
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 | Y |
Parent Organization Name | CREATIVE HEALTH SERVICES INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
132260 | PA | Allopathic & Osteopathic Physicians |
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
116700 | PA | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
132260 | PA | Allopathic & Osteopathic Physicians |
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 |
1013170174 | Creative Health Services Inc | Case Management | 11 Robinson St, Pottstown, PA 19464-6439 | 2008-07-08 |
1417110222 | Creative Health Services Inc | Case Management | 11 Robinson St, Pottstown, PA 19464-6439 | 2008-07-02 |
Street Address |
1 MENNONITE CHURCH RD |
City | SPRING CITY |
State | PA |
Zip Code | 19475-1518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164929444 | Elizabeth Ann Sutton | Marriage & Family Therapist | 1 Mennonite Church Rd, Spring City, PA 19475-1518 | 2018-04-12 |
1851800809 | Courtney Ragin | Marriage & Family Therapist | 1 Mennonite Church Rd, Spring City, PA 19475-1518 | 2017-09-21 |
1366978264 | Frank Pogash | Counselor | 1 Mennonite Church Rd, Spring City, PA 19475-1518 | 2017-05-11 |
1598206385 | Alexandria Miller | Marriage & Family Therapist | 1 Mennonite Church Rd, Spring City, PA 19475-1518 | 2017-03-14 |
1407204670 | Stacie Courtney-mustaphi | Marriage & Family Therapist | 1 Mennonite Church Rd, Spring City, PA 19475-1518 | 2016-05-29 |
1770949919 | Lauren Nicole Bonis | Counselor | 1 Mennonite Church Rd, Spring City, PA 19475-1518 | 2016-01-04 |
1548626732 | Timothy Reppert | Counselor | 1 Mennonite Church Rd, Spring City, PA 19475-1518 | 2016-01-04 |
1790140168 | Stephanie Dunn | Counselor | 1 Mennonite Church Rd, Spring City, PA 19475-1518 | 2015-12-29 |
1083089346 | Jennifer Duen | Counselor | 1 Mennonite Church Rd, Spring City, PA 19475-1518 | 2015-12-11 |
1912371345 | Creative Health Inc. | Community/Behavioral Health | 1 Mennonite Church Rd, Spring City, PA 19475-1518 | 2015-11-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881194041 | Malorie Anne Hubert | Behavioral Analyst | 526 New Street, Spring City, PA 19475 | 2018-02-14 |
1982110250 | Robin B Sexto | Counselor | 510 Broad Street, Spring City, PA 19475 | 2017-12-21 |
1609153626 | Spirit of Gheel | Psychiatric Residential Treatment Facility | 10 Hollow Rd, Spring City, PA 19475 | 2011-11-04 |
1780779231 | Shirley Evelyn Leszczynski | Physician Assistant | 11 Independence Drive, Spring City, PA 19475 | 2006-10-03 |
1851913594 | Chido Bridget Chigumira | Occupational Therapist | One Veterans Dr, Spring City, PA 19475 | 2020-05-16 |
1609120641 | Jessica Elliott Peiffer | Speech-Language Pathologist | One Veterans Drive, Spring City, PA 19475 | 2012-10-30 |
1467776880 | Angela Schatz | Occupational Therapist | 1 Veterans Dr, Southeastern Veterans Center, Spring City, PA 19475 | 2010-03-15 |
1568608453 | Thomas K. Martin | Registered Nurse | 11 Independence Drive, Spring City V.a. Outpatient Clinic, Spring City, PA 19475 | 2008-12-23 |
1225127517 | William C Hunter | Internal Medicine | 1 Veterans Dr, Spring City, PA 19475 | 2006-10-12 |
1730283524 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3425 Schuylkill Rd, Spring City, PA 19475-1138 | 2006-09-12 |
Find all providers in zip 19475 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
Find all providers with the same taxonomy |
City | SPRING CITY |
Zip Code | 19475 |
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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.