Dr. Maureen RS Creal, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301014096 Issued in MI

Legal business name

DR. MAUREEN RS CREAL, PLLC

Practice address

3083 Coolidge Hwy
Berkley, MI 48072-3523

Phone

(248) 850-1547

Fax

(248) 850-1545

NPI assigned

Nov 30, 2011

Last updated

Dec 2, 2011By 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

Dr. Maureen RS Creal, PSYD LPNPI 1295928612

Title

Clinical Psychologist

Phone

(248) 850-1547

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Maureen Renee-Strasser Creal, LP

  • Mental Health Counselor
  • Berkley, MI
  • NPI 1295928612

  Psychologist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1366719668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3083 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723523",
            "telephone_number": "248-850-1547",
            "fax_number": "248-850-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3083 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723523",
            "telephone_number": "248-850-1547",
            "fax_number": "248-850-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MAUREEN RS CREAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "CREAL",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "RS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-850-1547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Berkley, MI
• Providers in Berkley, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.