Robert Leanard Creth, P.T.

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

Practice address

871 Enborg CT
Unit 100
San Jose, CA 95128-2645

Phone

(408) 885-7855

NPI assigned

Aug 5, 2009

Last updated

Aug 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Urgent Care

  dba n/a

  • Psychiatric Hospital Unit
  • San Jose, CA
  • NPI 1265736342
  NPD (past)

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1700017969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 MITTON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482808",
            "telephone_number": "408-580-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 ENBORG CT",
            "address_2": "UNIT 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282645",
            "telephone_number": "408-885-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETH",
        "first_name": "ROBERT",
        "middle_name": "LEANARD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestline Medical Group PC
• Crestpoint Medical LLC
• Crestwood Behavioral Health, Inc (Crestwood Behavioral Health Center)
• Crestwood Behavioral Health, Inc. (Crestwood Psychiatric Health Facility-San Jose)
• Crestwood Behavioral Health, Inc. (Crestwood Center)
• James Dillon Crew, M.D.
• Maria Crisan
• Crisis Pregnancy Centers of Santa Clara County (RealOptions)
• Cristina
• Catherine Ann Critchfield, MA, MFTI

• Licensed Psychiatric Technician in San Jose, CA
• Providers in San Jose, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.