Active NPI
Vanessa Marie McCreery, LPT
- Licensed Psychiatric Technician
- Laguna Hills, CA
National Provider Identifier
1265698708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT 18973
- Practice address
- 23161 Mill Creek Dr Ste 230
Laguna Hills, CA 92653-7935 - Phone
- (949) 264-5350
- Fax
- (949) 221-6939
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT 18973 | CA | Primary |
Addresses
Primary practice location
23161 Mill Creek Dr Ste 230
Laguna Hills, CA 92653-7935
Mailing address
12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865
Phone (657) 261-7140
Other practice location 1
12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865
Phone (657) 261-7140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 18973 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients |
Locations
12141 Brookhurst St
Ste 201
Garden Grove, CA 92840
Phone (657) 261-7140
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Garden Grove, CA
- NPI 1992312805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1265698708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12141 BROOKHURST ST STE 201",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928402865",
"telephone_number": "657-261-7140",
"fax_number": "714-922-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23161 MILL CREEK DR STE 230",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926537935",
"telephone_number": "949-264-5350",
"fax_number": "949-221-6939"
}
],
"practiceLocations": [
{
"address_1": "12141 Brookhurst St Ste 201",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928402865",
"country_code": "US",
"telephone_number": "657-261-7140",
"fax_number": "714-922-1032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCREERY",
"first_name": "VANESSA",
"middle_name": "MARIE",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT 18973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.