Creatively Clinic LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CREATIVELY CLINIC LLC

Practice address

8395 W Oakland Park Blvd Ste C
Sunrise, FL 33351-7346

Phone

(786) 659-5296

Fax

(561) 448-7160

NPI assigned

Dec 2, 2024

Last updated

Mar 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Hessel

Title

Managing Director

Phone

(786) 675-8083

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra J Santa Maria, BCBA 12478118

  • Behavior Analyst
  • Salt Lake City, UT
  • NPI 1023650280
  NPD (past)

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1073339305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 BRICKELL AVE STE 410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313041",
            "telephone_number": "786-659-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 W OAKLAND PARK BLVD STE C",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517346",
            "telephone_number": "786-659-5296",
            "fax_number": "561-448-7160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3580 Mystic Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331802554",
            "country_code": "US",
            "telephone_number": "786-659-5296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVELY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "HESSEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "786-675-8083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Cotto, CRNA, ARNP
• Gabrielle Coulouris
• CR & Ra Investments LLC (Team Select Home Care)
• Ceylhar-Grace Tajhae Craft
• Joseph Thompson Crane, MD
• Katherine N/a Crespo
• Michael A Criscella
• Steven Daniel Criscella, OTR/L
• Will R Crowthers, CRNA
• Beatriz Cruz

• Behavior Analyst in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.