Cretilli and Associates, PA

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

Legal business name

CRETILLI AND ASSOCIATES, PA

Practice address

5430 Edgewater Blvd
Minneapolis, MN 55417-2604

Phone

(612) 822-2714

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Patricia K Cretilli, RN, CNS, PHDNPI 1023229085

Title

President

Phone

(612) 822-2714

Specialties & licenses 1

Addresses

Other identifiers 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.

• Patricia K. Cretilli

  • Adult Psychiatric/Mental Health Registered Nurse
  • Minneapolis, MN
  • NPI 1023229085
  NPD (past) Authorized official

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1376873331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 EDGEWATER BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172604",
            "telephone_number": "612-822-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 EDGEWATER BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172604",
            "telephone_number": "612-822-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRETILLI AND ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "CRETILLI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-822-2714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, CNS, PHD"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MINNESOTA",
            "identifier": "77D30CR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Crespo, MD
• Briana McCall Cress
• Vanessa Paulette Cressy, LICSW
• Crestview Assisted Living LLC
• Crestview Residences LLC
• Patricia K. Cretilli
• Sara Creurer, PSY.D., LP
• Elizabeth Crichton
• Derrick Elton Crim, LADC
• Shannon M Crimmins, LMFT

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.