NPIMap

Organization Active NPI

Creative Independent Alliance

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1417308941
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6417465 Issued in PA
Legal business name
CREATIVE INDEPENDENT ALLIANCE
Practice address
1 International PLZ
Suite 550
Philadelphia, PA 19113-1510
Phone
(267) 275-2393
NPI assigned
Jun 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Ms. Pamelan Pendleton
Title
Executive Director
Phone
(267) 275-2393

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X 6417465 PA Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

1 International PLZ
Suite 550
Philadelphia, PA 19113-1510

Mailing address

1 International PLZ
Suite 550
Philadelphia, PA 19113-1510
Phone (267) 275-2393

National Provider Directory

National Provider Directory
Tax ID family
Creative Independence Alliance Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1417308941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INTERNATIONAL PLZ",
            "address_2": "SUITE 550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191131510",
            "telephone_number": "267-275-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INTERNATIONAL PLZ",
            "address_2": "SUITE 550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191131510",
            "telephone_number": "267-275-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE INDEPENDENT ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "PENDLETON",
        "authorized_official_first_name": "PAMELAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-275-2393",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "6417465",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.