Organization Active NPI

Kreative Therapy Services Corp

  • Multi-Specialty Clinic/Center
  • Doral, FL
National Provider Identifier
1558973404
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KREATIVE THERAPY SERVICES CORP
Practice address
8491 NW 17TH St Ste 110
Doral, FL 33126-1025
Phone
(305) 456-5542
Fax
(786) 364-0119
NPI assigned
Aug 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Katy EchevarriaNPI 1861748519
Title
President
Phone
(305) 456-5542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

8491 NW 17TH St Ste 110
Doral, FL 33126-1025

Mailing address

8491 NW 17TH St Ste 110
Doral, FL 33126-1025
Phone (305) 456-5542

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kreativetherapyservices@gmail.com

National Provider Directory

National Provider Directory

Locations

8491 NW 17th St
Ste 110
Doral, FL 33126
Phone (305) 456-5542

Practitioners & affiliated clinicians

Practitioners 1

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": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1558973404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8491 NW 17TH ST STE 110",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261025",
            "telephone_number": "305-456-5542",
            "fax_number": "786-364-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8491 NW 17TH ST STE 110",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261025",
            "telephone_number": "305-456-5542",
            "fax_number": "786-364-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREATIVE THERAPY SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "ECHEVARRIA",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-456-5542"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kreativetherapyservices@gmail.com",
            "affiliation": "N",
            "address_1": "8491 NW 17th St Ste 110",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331261025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.