Organization Active NPI

Creighton Oaks Clinical Services LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1467379172
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CREIGHTON OAKS CLINICAL SERVICES LLC
Practice address
100 Glenborough Dr Ste 1000
Houston, TX 77067-3621
Phone
(361) 550-0549
NPI assigned
Jul 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Mr. David Vernon Way, MAIS
Title
Governance
Phone
(361) 550-0549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

100 Glenborough Dr Ste 1000
Houston, TX 77067-3621

Mailing address

100 Glenborough Dr Ste 1000
Houston, TX 77067-3621
Phone (361) 550-0549

National Provider Directory

National Provider Directory

Locations

100 Glenborough Dr
Ste 1000
Houston, TX 77067

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1467379172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GLENBOROUGH DR STE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673621",
            "telephone_number": "361-550-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLENBOROUGH DR STE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770673621",
            "telephone_number": "361-550-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREIGHTON OAKS CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "GOVERNANCE",
        "authorized_official_telephone_number": "361-550-0549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAIS"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.