James Edward Cole Creely, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

29764 Issued in CA

Practice address

520 S Grand Ave Ste 671
Los Angeles, CA 90071-2655

Phone

(626) 219-3736

NPI assigned

Jan 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1154838902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CARLTON AVE APT 8",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032955",
            "telephone_number": "626-235-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S GRAND AVE STE 671",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712655",
            "telephone_number": "626-219-3736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Wilshire Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900172457",
            "country_code": "US",
            "telephone_number": "424-201-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Wilshire Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900172457",
            "country_code": "US",
            "telephone_number": "424-201-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREELY",
        "first_name": "JAMES",
        "middle_name": "EDWARD COLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-02",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "29764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Nutrition
• Alicia R. Crecelius, MD
• Gia Crecelius, MD
• Ashley Credle
• Megan Elizabeth Creedon, RBT
• Christina Suzanne Creer, R.N.
• Camille Creighton
• Madysyn Creighton
• Leanne Margaret Cremin
• Crenshaw Arf LLC

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.