Kreative Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KREATIVE THERAPY

Practice address

60 Central Ave
Montclair, NJ 07042-2951

Phone

(973) 980-9408

NPI assigned

Jun 16, 2015

Last updated

Jun 16, 2015By 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

Ms. Irma Nyack

Title

President

Phone

(973) 866-7656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1447631338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070420652",
            "telephone_number": "973-980-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CENTRAL AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422951",
            "telephone_number": "973-980-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "NYACK",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-866-7656",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radha Kotamraju
• Judith Kottick, LCSW
• Ljiljana Kovacevic, CRNA
• Jennifer Kowal, IBCLC
• Sari Kramer, PHD
• Brielle Korin Krel
• Kristin Korab-Reynolds LLC
• Edward Todd Krupp, D.O.
• Samantha Cecilia Krych, OTD
• Alicja Krzych-Klauber, LCSW

• Community/Behavioral Health Agency in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.