NPIMap

Organization Active NPI

Creative Health Services, Inc.

  • Child & Adolescent Psychiatry Physician
  • Pottstown, PA
National Provider Identifier
1124194121
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
101530 Issued in PA
Legal business name
CREATIVE HEALTH SERVICES, INC.
Practice address
929 Willow St
Pottstown, PA 19464-1811
Phone
(610) 326-7734
Fax
(610) 326-4762
NPI assigned
Nov 28, 2006
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CREATIVE HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Dr. P. Andrew Trentacoste, PHY.D., MBANPI 1902021033
Title
Executive Director
Phone
(484) 941-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 101530 PA
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 101530 PA Primary

Addresses

Primary practice location

929 Willow St
Pottstown, PA 19464-1811

Mailing address

11 Robinson St
Pottstown, PA 19464-6421
Phone (484) 941-0500

Other identifiers 1

IdentifierTypeStateIssuer
100751163MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000892 PA Part B Supplier - Clinic/Group Practice 2365340528 Receives reassigned benefits from 35 practitioners
5 other NPIs on this enrollment
Practice locations: Spring City, PA; Pottstown, PA; Pennsburg, PA; Boyertown, PA; Phoenixville, PA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Creative Health Service12 organizations share this tax ID, including this one
Part of
Creative Health Service

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

321 N Furnace St
Ste 40
Birdsboro, PA 19508
Phone (610) 404-8825

11 Robinson St
Pottstown, PA 19464
Phone (610) 326-9250

361 E High St
Pottstown, PA 19464
Phone (610) 326-9250

929 Willow St
Pottstown, PA 19464
Phone (610) 326-7734

Practitioners & affiliated clinicians

Practitioners 66

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.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1124194121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROBINSON ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646421",
            "telephone_number": "484-941-0500",
            "fax_number": "484-941-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 WILLOW ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194641811",
            "telephone_number": "610-326-7734",
            "fax_number": "610-326-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATIVE HEALTH SERVICES INC",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "TRENTACOSTE",
        "authorized_official_first_name": "P.",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "484-941-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHY.D., MBA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "101530",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "101530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100751163",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.