Creative Care Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CREATIVE CARE PSYCHIATRY LLC

Practice address

1 Marine PLZ Ste 307
North Bergen, NJ 07047-6234

Phone

(201) 429-5773

Fax

(201) 425-3456

NPI assigned

Nov 22, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Bahar Hadjiesmaeiloo, MDNPI 1548585292

Title

Owner

Phone

(703) 980-5042

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bahar Hadjiesmaeiloo, M.D.

  • Psychiatry Physician
  • Bryn Mawr, PA
  • NPI 1548585292

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Mylene Alberto, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • North Bergen, NJ
  • NPI 1720321052
  Medicare reassignment Care Compare group NPD
• Leticia Gonzalez, L.C.S.W.

  • Clinical Social Worker
  • Elizabeth, NJ
  • NPI 1336293463
  Medicare reassignment Care Compare group NPD
• Ida Rose Kenna, LPC

  • Mental Health Counselor
  • Bayonne, NJ
  • NPI 1508192907
  Medicare reassignment Care Compare group NPD
• Catharine Cecilia Shalhoub, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Syracuse, NY
  • NPI 1073728093

  NJ

  Medicare reassignment Care Compare group NPD
• Mashenda Green, APRN

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Belleville, NJ
  • NPI 1144415050
  Medicare reassignment NPD

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

{
    "created_epoch": "1763769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1134080773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARINE PLZ STE 307",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476234",
            "telephone_number": "201-429-5773",
            "fax_number": "201-425-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARINE PLZ STE 307",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476234",
            "telephone_number": "201-429-5773",
            "fax_number": "201-425-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-22",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "HADJIESMAEILOO",
        "authorized_official_first_name": "BAHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-980-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kenneth Corvin, MD
• Romy Maria Coto
• County Line Endoscopy & Surgical Center LLC
• Kendre Crawford-Blue, RN
• Creative Care Psychiatry
• Jane Cruz
• Oel Antonio Cruz Jr.
• Jasmyn Cuate
• Richard Dylan Cuccurullo I
• Rosa Maria Cucu

• Psychiatry Physician in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.