Organization Active NPI

Creps Medical Incorporated

  • Family Psychologist
  • Saginaw, MI
National Provider Identifier
1780986752
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
5101011298 Issued in MI
Legal business name
CREPS MEDICAL INCORPORATED
Practice address
1064 Kendale PL
Saginaw, MI 48609-6792
Phone
(989) 607-6003
NPI assigned
Nov 24, 2010
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Kellie Swartz, PROFESSIONAL MEDICAL
Title
Ceo
Phone
(989) 791-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 5101011298 MI Primary

Addresses

Primary practice location

1064 Kendale PL
Saginaw, MI 48609-6792

Mailing address

3061 Christy Way
Saginaw, MI 48603-2224
Phone (989) 791-2455

National Provider Directory

National Provider Directory

Locations

2424 N Outer Dr
Saginaw, MI 48601
Phone (989) 775-0400

1925 E 4th St
Ottawa, OH 45875
Phone (419) 523-3591

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1780986752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032224",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 KENDALE PL",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486096792",
            "telephone_number": "989-607-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREPS MEDICAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-791-2455",
        "authorized_official_credential": "PROFESSIONAL MEDICAL"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MI",
            "license": "5101011298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.