Creative Psychological Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CREATIVE PSYCHOLOGICAL SERVICES, PLLC

Practice address

2700 Executive Park NW Ste a
Cleveland, TN 37312-2770

Phone

(540) 418-0105

Fax

(540) 404-2126

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Michele Hoffman Miller, PSYDNPI 1962608588

Title

Owner/Ceo

Phone

(540) 759-0037

Specialties & licenses 3

Addresses

Tax ID family

Creative Psychological Services PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nicole Hoffman Miller PSYD LLC

  • Community/Behavioral Health Agency
  • Salem, VA
  • NPI 1710487970
  NPD tax ID

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.

• Nicole Michele Hoffman Miller, PSY.D.

  • Psychologist
  • Cleveland, TN
  • NPI 1962608588
  NPD Authorized official

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1376262840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 SUSANNA CT",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278288530",
            "telephone_number": "540-759-0037",
            "fax_number": "540-404-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EXECUTIVE PARK NW STE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122770",
            "telephone_number": "540-418-0105",
            "fax_number": "540-404-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN MILLER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "540-759-0037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Maloney Crockett, MSN, FNP-C
• Shelia Ninette Croley, RPH
• Erin Helton Crook, PA-C

• Psychologist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.