Crediblecare Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CREDIBLECARE SERVICES LLC

Practice address

4507 Lyons Cir
Apt T3
Owings Mills, MD 21117-6979

Phone

(571) 277-0779

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Derick SonjongNPI 1851047690

Title

President

Phone

(571) 277-0779

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Derick Sonjong, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
  • NPI 1851047690
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1699503227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 LYONS RUN CIR APT T3",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176979",
            "telephone_number": "571-277-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 LYONS CIR",
            "address_2": "APT T3",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176979",
            "telephone_number": "571-277-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDIBLECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "SONJONG",
        "authorized_official_first_name": "DERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-277-0779"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Winthrop Crandall, MD
• Jennifer Crawford, LCSW-C
• Susan E Creamer, PAC
• Creating Better Opportunities Inc
• Amanda Crecelius, DPT
• Lindsay S Creed, AU.D., CCC-A, FAAA
• Beth Creeger, MAC., L.AC.
• Christine Ann Cronin, LCSW-C
• Cross Keys Pediatrics LLC
• Crossroads Podiatric Surgery Center, L.L.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.