Creative Therapy, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT350 Issued in HI

Legal business name

CREATIVE THERAPY, INC.

Practice address

3483 Weliweli Rd
Suite #1
Koloa, HI 96756-8546

Phone

(808) 652-2862

Fax

(808) 320-3933

NPI assigned

Feb 24, 2015

Last updated

Feb 24, 2015By 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

Mrs. Mary Frances Tyson Marchino, MFT

Title

Owner

Phone

(808) 652-2862

Specialties & licenses 1

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.

• Mary Frances Tyson-Marchino, MFT, CSAC, RPT

  • Mental Health Counselor
  • Koloa, HI
  • NPI 1376787853
  NPD (past)

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1184016446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967410339",
            "telephone_number": "808-652-2862",
            "fax_number": "808-320-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 WELIWELI RD",
            "address_2": "SUITE #1",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967568546",
            "telephone_number": "808-652-2862",
            "fax_number": "808-320-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "TYSON MARCHINO",
        "authorized_official_first_name": "MARY FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-652-2862",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Briones, PH.D.
• Joseph W. Burris Jr., M.D., MPH
• Christina M Cano-Young, LCSW
• Kimberly Capone
• Daniel S Choi, MD
• Daniel S Choi MD Professional Corporation
• Frank Joseph Davis, D.C.
• Edward Franklin De Deo, D.C.
• Kerry L Dillberg, DC, L.AC.
• Ameen Fayek Elwir

• Marriage & Family Therapist in Koloa, HI
• Providers in Koloa, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.