Active NPI
Justin Creech, PBSF
- Specialist
- Glen Allen, VA
National Provider Identifier
1487703211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 109
- Practice address
- 4903 Meredith Woods Rd
Glen Allen, VA 23060-3113 - Phone
- (804) 402-6134
- NPI assigned
- Jan 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 109 | VA | Primary |
Addresses
Primary practice location
4903 Meredith Woods Rd
Glen Allen, VA 23060-3113
Mailing address
4903 Meredith Woods Rd
Glen Allen, VA 23060-3113
Phone (804) 402-6134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Behavior Consulting, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Glen Allen, VA
- NPI 1619122348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487703211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4903 MEREDITH WOODS RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603113",
"telephone_number": "804-402-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4903 MEREDITH WOODS RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603113",
"telephone_number": "804-402-6134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREECH",
"first_name": "JUSTIN",
"credential": "PBSF",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
- Avery Marie Craddock, MS
- Shelby Elizabeth Craig, M. ED., BCBA, LBA
- Stephen Crawford
- Fay Hannah Crawshaw, PA-C
- Stacy Elizabeth Creamer, M.S. CCC-SLP
- Emily Barrett Criner, PHARMD
- Crippled Children's Hospital (Children's Hospital)
- Crippled Children's Hospital (Children's Hospital)
- Crippled Children's Hospital (Children's Hospital)
- Crippled Children's Hospital (Children's Hsopital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.