Creative Play and Speech Therapy, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015101 Issued in OR

Legal business name

CREATIVE PLAY AND SPEECH THERAPY, INC

Practice address

1425 N Killingsworth St
Portland, OR 97217-4541

Phone

(916) 267-7262

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Eric Vianelle, M.S. CCC-SLP

Title

Director

Phone

(916) 267-7262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1427489103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 NE FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014927",
            "telephone_number": "916-267-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N KILLINGSWORTH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174541",
            "telephone_number": "916-267-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PLAY AND SPEECH THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "VIANELLE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-267-7262",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "015101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geanna Creamer
• Marissa Dawn Creamer, LMT
• John Matthew Creasy, MD
• Create Change, LLC
• Creative Communications, LLC
• Creative Therapy Connections, LLC
• Creative Therapy for the Heart, LLC
• Creative Thriving, LLC
• Credena Health LLC
• Credena Health LLC

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.