Credostar Psychiatric Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CREDOSTAR PSYCHIATRIC NURSING CORPORATION

Practice address

4719 Quail Lakes Dr Ste G1108
Stockton, CA 95207-8140

Phone

(832) 904-6531

NPI assigned

Feb 12, 2025

Organization subpart

No

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

Authorized official

Name

Osita Stella Nlemchukwu, PMHNP-BCNPI 1538987284

Title

Ceo

Phone

(832) 904-6531

Specialties & licenses 1

Addresses

Other names 1

• CREDOSTAR PSYCHIATRIC NURSING CORPORATION Former legal business name

Locations

Practitioners 1

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

• Osita Stella Nlemchukwu

  • Psychiatric/Mental Health Nurse Practitioner
  • Stockton, CA
  • NPI 1538987284
  NPD Authorized official

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1164237400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 QUAIL LAKES DR STE G1108",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078140",
            "telephone_number": "832-904-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 QUAIL LAKES DR STE G1108",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078140",
            "telephone_number": "832-904-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDOSTAR PSYCHIATRIC NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "NLEMCHUKWU",
        "authorized_official_first_name": "OSITA",
        "authorized_official_middle_name": "STELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-904-6531",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREDOSTAR PSYCHIATRIC NURSING CORPORATION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jamere Crawford
• James Crawford
• Melissa Michelle Crawford
• Alyson Anita Crayton
• Creative Child Care, Inc.
• Crestwood Behavioral Health, Inc. (Crestwood Manor)
• Erin Leigh Crinklaw
• Leah Pascua Crisostomo
• Richard Crisp
• Deanna Crivello, PT

• Psychiatric/Mental Health Nurse Practitioner in Stockton, CA
• Providers in Stockton, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.