Active NPI
Creative Psychological Solutions LLC
- Psychologist
- Crystal Lake, IL
National Provider Identifier
1679719652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071-006447
- Legal business name
- CREATIVE PSYCHOLOGICAL SOLUTIONS LLC
- Practice address
- 350 E Congress Pkwy
Suite L
Crystal Lake, IL 60014-6284 - Phone
- (815) 355-4292
- Fax
- (815) 356-7139
- NPI assigned
- Dec 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Dean, PSY.D.
- Title
- Sole Member
- Phone
- (815) 355-4292
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071-006447 | IL | Primary |
| Psychologist | 103T00000X | 3-1970 | TX |
Addresses
Primary practice location
350 E Congress Pkwy
Suite L
Crystal Lake, IL 60014-6284
Mailing address
104 W Meadow Dr
Cortland, IL 60112-4226
Phone (815) 355-4292
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Crystal Lake, IL
- NPI 1356340616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314057600000",
"number": "1679719652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W MEADOW DR",
"city": "CORTLAND",
"state": "IL",
"postal_code": "601124226",
"telephone_number": "815-355-4292",
"fax_number": "815-356-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E CONGRESS PKWY",
"address_2": "SUITE L",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146284",
"telephone_number": "815-355-4292",
"fax_number": "815-356-7139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE PSYCHOLOGICAL SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-23",
"last_updated": "2011-08-23",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "CATHERINE",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "815-355-4292",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "IL",
"license": "071-006447",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "TX",
"license": "3-1970",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.