CREATIVE HEALTH SERVICES, INC. (NPI# 1821241928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821241928 |
| Entity Type | Organization |
| Organization Name | CREATIVE HEALTH SERVICES, INC. |
| Practice Address |
35 Evansburg Rd Collegeville PA 19426 |
| Mailing Address |
11 Robinson St Pottstown PA 19464-6439 |
| Practice Telephone | 4848549833 |
| Mailing Telephone | 4849410500 |
| Mailing Fax Number | 4849410515 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | MR. RANDALL D. REBER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4849410500 |
| Is Organization Subpart | Y |
| Parent Organization Name | CREATIVE HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100751163 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Robinson St, Pottstown, PA 194646439 | 4849410500 | 4849410515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649407594 | Creative Health Services, Inc. | Clinic/Center | 600 N Franklin St, Pottstown, PA 19464-4618 | 2009-06-18 |
| 1124194121 | Creative Health Services, Inc. | Psychiatry & Neurology | 929 Willow St, Pottstown, PA 19464-1811 | 2006-11-28 |
| 1225482672 | Creative Health Services, Inc. | Clinic/Center | 100 1st Ave, Phoenixville, PA 19460-3700 | 2016-04-21 |
| 1457797490 | Creative Health Services, Inc. | Social Worker | 11 Robinson St, Pottstown, PA 19464-6421 | 2013-05-17 |
| 1922214121 | Creative Health Services, Inc. | Case Management | 361 E High St, Pottstown, PA 19464-5659 | 2007-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CREATIVE HEALTH SERVICES, INC. | 11 Robinson St Ste 1, Pottstown, PA 19464-6421 |
| Street Address |
35 EVANSBURG RD |
| City | COLLEGEVILLE |
| State | PA |
| Zip Code | 19426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023571841 | Nicole Bellinger | Technician | 35 Evansburg Rd, Collegeville, PA 19426-3165 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057040 | Oswaldo Giovanni Tagle Manrique | Physician Assistant | 1200 Mokychic Road, Collegeville, PA 19426 | 2019-11-13 |
| 1639722507 | Child & Family Focus Inc | Community/Behavioral Health | 121 Wartman Road, Perkiomen Township, PA 19426 | 2019-07-19 |
| 1487116299 | Joshua Heinsheimer | Dentist | 241-3 Plaza Drive, Collegeville, PA 19426 | 2019-04-01 |
| 1093284101 | Courtney Cione | Nurse Practitioner | 1200 Mokychic Rd., Collegeville, PA 19426 | 2018-11-19 |
| 1538645007 | Linda Kathleen Muller | Registered Nurse | 369 Avon Ave, Collegeville, PA 19426 | 2018-07-17 |
| 1215445333 | Mary Catherine Campetti | Nurse Practitioner | 555 Second Ave Ste C-850, Collegeville, PA 19426 | 2018-01-11 |
| 1831606292 | Kevin Titze | Counselor | 3819 Germantown Pike Ste B, Collegeville, PA 19426 | 2018-01-08 |
| 1942727441 | Naomi Avoline Kim | Counselor | 555 2nd Ave, Building B, Suite 101, Collegeville, PA 19426 | 2017-08-24 |
| 1376086348 | Kelly Robin Durante | Nurse Practitioner | 433 Komen Ct., Collegeville, PA 19426 | 2016-11-23 |
| 1558817262 | Joseph Kosto | Pharmacist | 1219 Taylor Way, Collegeville, PA 19426 | 2016-09-01 |
| Find all providers in zip 19426 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245519834 | Anand Psychotherapy Concepts | Clinic/Center | 555 2nd Ave, B350, Collegeville, PA 19426-3600 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930368 | Marley's Mission Inc | Clinic/Center | 2150 Port Royal Rd, Clarks Summit, PA 18411-9660 | 2020-10-20 |
| 1073123907 | Dr. Cristin Hall Psychotherapy, LLC | Clinic/Center | 315 S Allen St Ste 219, State College, PA 16801-4850 | 2020-08-05 |
| 1346860350 | Aba for Winners Inc. | Clinic/Center | 954 Belmont Ave, Philadelphia, PA 19104-1261 | 2020-04-20 |
| 1336775022 | Mindful Behavioral Health LLC | Clinic/Center | 134 S Highland Ave Ste 7, Pittsburgh, PA 15206-3968 | 2020-03-13 |
| 1538790720 | Mission Autism Clinics LLC | Clinic/Center | 9 Banks Ave, Mcadoo, PA 18237-2508 | 2020-01-28 |
| 1215568431 | Northeastern Behavioral Health, PC | Clinic/Center | 140 Bennett Avenue, Suite 1b, Milford, PA 18337 | 2020-01-27 |
| 1932744513 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1430 W Allen St, Allentown, PA 18102-2146 | 2019-11-07 |
| 1447894589 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 137 N 2nd St, Allentown, PA 18101-1935 | 2019-11-01 |
| 1972147023 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 709 W Emaus Ave, Allentown, PA 18103-6778 | 2019-11-01 |
| 1396399697 | The Counseling and Wellness Center of Wyomissing | Clinic/Center | 560 Van Reed Rd Ste 206, Wyomissing, PA 19610-1799 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGEVILLE |
| Zip Code | 19426 |
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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.