Halimena Montclaire Creque, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

30319 Issued in NC

Practice address

3000 Bethesda Place #801
Family Behavioral Health
Winston-Salem, NC 27103

Phone

(336) 659-9141

Fax

(336) 659-1456

NPI assigned

Jan 17, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Geriatric Psychiatry, Neuropsychiatry

Education

Wake Forest University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Behavioral Health, PLLCGroup PAC ID 1254222482, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Behavioral Health, PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1659591162
  Medicare reassignment Care Compare group NPD
• Keystone WSNC LLC

  dba Old Vineyard Physician Group

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1780817452
  Medicare reassignment NPD
• Keystone WSNC, LLC

  dba Old Vineyard Behavioral Health Services

  • Psychiatric Hospital
  • Winston Salem, NC
  • NPI 1922038082
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487634507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PLACE #801",
            "address_2": "FAMILY BEHAVIORAL HEALTH",
            "city": "WINSTON- SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-659-9141",
            "fax_number": "336-659-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PLACE #801",
            "address_2": "FAMILY BEHAVIORAL HEALTH",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-659-9141",
            "fax_number": "336-659-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREQUE",
        "first_name": "HALIMENA",
        "middle_name": "MONTCLAIRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "30319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8925734",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamesetter Luesinder Credell, LPC
• Jamie Owen Creed, MD
• Gregg Edward Cregan, M.D.
• John Andrew Crenshaw, MD
• Anton John Crepinsek III, M.D.
• Brittney Crews-Hickman
• Heather Crews, PTA
• Marilyn L. Crews, CRNA
• Megan Criley
• Thomas Andrew Crilley, M.D.

• Psychiatry Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.