Creative Care Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CREATIVE CARE PSYCHIATRY, PLLC

Practice address

263 9TH Ave
New York, NY 10001-6638

Phone

(646) 565-8366

Fax

(844) 974-2238

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Bahar Hadjiesmaeiloo, MDNPI 1548585292

Title

Ceo/Cmo

Phone

(646) 565-8366

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22818/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Bahar Hadjiesmaeiloo, M.D.

  • Psychiatry Physician
  • Bryn Mawr, PA
  • NPI 1548585292
  NPD Authorized official

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1801535372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 9TH AVE APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016604",
            "telephone_number": "703-980-5042",
            "fax_number": "833-974-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016638",
            "telephone_number": "646-565-8366",
            "fax_number": "844-974-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "HADJIESMAEILOO",
        "authorized_official_first_name": "BAHAR",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "646-565-8366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.creativecarepsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "Organization Website",
            "address_1": "263 9th Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100016638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Create, Inc.
• Create, Inc.
• Create, Inc.
• Createabilities OT, PLLC
• Creative Arts Therapy Nyc
• Creative Energy Counseling Services L.L.C,
• Creativity Mental Health Counseling
• Chris Creatura, M.D.
• Melissa Crecca, LMSW
• Peter Richard Credico, MD

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.