Individual provider Active NPI

Sascha Ilana Van Creveld, OT

  • Community Health Worker
  • New Haven, CT
National Provider Identifier
1003203985
Registry record updated Apr 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
001052 Issued in CT
Practice address
345 Stevenson Rd
New Haven, CT 06515-2470
Phone
(203) 376-9085
NPI assigned
Apr 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 001052 CT Primary

Addresses

Primary practice location

345 Stevenson Rd
New Haven, CT 06515-2470

Mailing address

345 Stevenson Rd
New Haven, CT 06515-2470
Phone (203) 376-9085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001052CTMDSocial Worker
1052CTMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429401600000",
    "number": "1003203985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 STEVENSON RD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152470",
            "telephone_number": "203-376-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 STEVENSON RD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152470",
            "telephone_number": "203-376-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN CREVELD",
        "first_name": "SASCHA",
        "middle_name": "ILANA",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-19",
        "last_updated": "2015-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CT",
            "license": "001052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.