NPIMap

Organization Active NPI

Creative Health Services Inc

  • Psychiatry Physician
  • Boyertown, PA
National Provider Identifier
1508933656
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
132260 Issued in PA
Legal business name
CREATIVE HEALTH SERVICES INC
Practice address
Fifth Street and Montgomer
Boyertown Professional Center
Boyertown, PA 19512
Phone
(610) 369-7271
Fax
(610) 369-7299
NPI assigned
Nov 30, 2006
Organization subpart
Yes
Parent organization
CREATIVE HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Dr. P. Andrew Trentacoste, PHY.D., MBA
Title
Executive Director
Phone
(484) 941-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 132260 PA Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 132260 PA

Addresses

Primary practice location

Fifth Street and Montgomer
Boyertown Professional Center
Boyertown, PA 19512

Mailing address

11 Robinson St
Pottstown, PA 19464-6421
Phone (484) 941-0500

Other identifiers 1

IdentifierTypeStateIssuer
100751163MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000892 PA Part B Supplier - Clinic/Group Practice 2365340528 Receives reassigned benefits from 35 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Spring City, PA; Pottstown, PA; Pennsburg, PA; Boyertown, PA; Phoenixville, PA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Creative Health Services in12 organizations share this tax ID, including this one
Part of
Creative Health Services in

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1508933656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROBINSON ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646421",
            "telephone_number": "484-941-0500",
            "fax_number": "484-941-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIFTH STREET AND MONTGOMER",
            "address_2": "BOYERTOWN PROFESSIONAL CENTER",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "19512",
            "telephone_number": "610-369-7271",
            "fax_number": "610-369-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATIVE HEALTH SERVICES INC",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "TRENTACOSTE",
        "authorized_official_first_name": "P.",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "484-941-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHY.D., MBA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "132260",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "132260",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100751163",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.