Creative Medical Institute, LTD.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CREATIVE MEDICAL INSTITUTE, LTD.

Practice address

5589 Greenwich Rd
175
Virginia Beach, VA 23462-6565

Phone

(757) 490-9311

Fax

(757) 490-9266

NPI assigned

Dec 22, 2009

Organization subpart

No

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

Authorized official

Name

Christine Forsyth Van Vleek

Title

Manager

Phone

(757) 490-9311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1629307632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5589 GREENWICH RD",
            "address_2": "175",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626565",
            "telephone_number": "757-490-9311",
            "fax_number": "757-490-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5589 GREENWICH RD",
            "address_2": "175",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626565",
            "telephone_number": "757-490-9311",
            "fax_number": "757-490-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MEDICAL INSTITUTE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "VAN VLEEK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "FORSYTH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-490-9311"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Lynn Craymer, LPC
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• Creative Alternative for Living
• Creative Changes Counseling Center
• Creative Pharmacy Solutions East LLC
• Creative Self-Leadership & Design PLLC
• Nevaeh Creech
• Tonya Maria Creque, BSN, MSN
• Crescent Counseling & Casework Services Inc.

• Neurology Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.