CREPS MEDICAL INCORPORATED


Address: 1064 Kendale Pl, Saginaw, MI 48609-6792
Phone: 9896076003

CREPS MEDICAL INCORPORATED (NPI# 1780986752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780986752
Entity Type Organization
Organization Name CREPS MEDICAL INCORPORATED
Practice Address 1064 Kendale Pl
Saginaw
MI 48609-6792
Mailing Address 3061 Christy Way
Saginaw
MI 48603-2224
Practice Telephone 9896076003
Mailing Telephone 9897912455
Mailing Fax Number 9897911392
Enumeration Date 2010-11-24
Last Update Date 2011-07-26
Authorized Official Name KELLIE SWARTZ (CEO)
Authorized Official Telephone 9897912455
Authorized Official Credential PROFESSIONAL MED
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0000X Psychologist
Specialization: Family
5101011298 MI Behavioral Health & Social Service Providers

Office Location

Street Address 1064 KENDALE PL
City SAGINAW
State MI
Zip Code 48609-6792

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1023372240 Lisa Ann Smith Social Worker 7845 Geddes Rd, Saginaw, MI 48609-4212 2012-07-03
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Taxonomy Information

Taxonomy Code 103TF0000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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1376751941 Garland William Batherson Psychologist 822 W Grand River Ave, Brighton, MI 48116-2303 2007-05-18
1053474031 Kathleen Wong Seitz Psychologist 921 West 11th St, Ste 1e, Traverse City, MI 49684 2006-12-19
1013960301 Tommy Sogbafai Stevens Psychologist 2298 S Center Rd, Burton, MI 48519-1166 2006-05-18
1689208019 Ruby Lee Psychologist 77 Victor St, Highland Park, MI 48203-3127 2020-02-25
1851952196 Kane Sherrod Morris Psychologist 2925 Russell St, Detroit, MI 48207-4825 2019-06-26
1013380427 Brighton Family Center, Plc Psychologist 10315 Grand River Rd, Suite 104, Brighton, MI 48116-9594 2015-11-06
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Competitor

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City SAGINAW
Zip Code 48609

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Dataset Information

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.

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