NPIMap

Organization Active NPI

Creative Health Solutions LLC

  • Multi-Specialty Clinic/Center
  • Fairfax, VA
National Provider Identifier
1750521779
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
1003854381 Issued in VA
Legal business name
CREATIVE HEALTH SOLUTIONS LLC
Practice address
3900 Jermantown Rd Ste 250
Fairfax, VA 22030-4946
Phone
(703) 910-5006
Fax
(888) 314-6706
NPI assigned
Mar 3, 2009
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Richard Feingold
Title
Chief Operating Officer
Phone
(703) 910-5006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 1003854381 VA Primary

Addresses

Primary practice location

3900 Jermantown Rd Ste 250
Fairfax, VA 22030-4946

Mailing address

3900 Jermantown Rd Ste 250
Fairfax, VA 22030-4946
Phone (703) 910-5006

National Provider Directory

National Provider Directory

Locations

3900 Jermantown Rd
Ste 250
Fairfax, VA 22030
Phone (703) 910-5006

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1750521779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JERMANTOWN RD STE 250",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304946",
            "telephone_number": "703-910-5006",
            "fax_number": "888-314-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JERMANTOWN RD STE 250",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304946",
            "telephone_number": "703-910-5006",
            "fax_number": "888-314-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "FEINGOLD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "703-910-5006"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "VA",
            "license": "1003854381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.