Creative Care

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

CREATIVE CARE

Doing business as

Creative Care

Practice address

2442 23Rd St N
St Petersburg, FL 33713-4018

Phone

(727) 317-3932

NPI assigned

Aug 31, 2020

Last updated

Aug 31, 2020By 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

Terrance Roberts

Title

Executive Director

Phone

(727) 317-3932

Specialties & licenses 1

Addresses

Other names 1

• CREATIVE CARE Doing business as

Locations

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1396358198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 23RD ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337134018",
            "telephone_number": "727-317-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 23RD ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337134018",
            "telephone_number": "727-317-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "727-317-3932"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crawford Implant & Laser Periodontics PLLC
• Bruce M Crawford, D.M.D.
• Christopher Daniel Crawford, D.C.
• Marguerite M Crawford, M.D.
• Thomas W Crawford, DDS
• Creative Care, LLC
• Creative Clay, Inc.
• Creative Counseling for Personal Growth, LLC
• Creative Therapies, LLC (Laura Hensley, LMHC)
• Rebecca A Crecraft, PSY.D.

• Developmental Disabilities Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.