Creative Living Center Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS005025-L Issued in PA

Legal business name

CREATIVE LIVING CENTER INC.

Practice address

434 Allegheny River Blvd
Suite 215
Oakmont, PA 15139-1734

Phone

(412) 828-9458

Fax

(412) 828-9459

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathy Diane Hamm, PH.D

Title

President

Phone

(412) 828-9458

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Creative Living Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Creative Living Ceneter, Inc.

  • Clinical Social Worker
  • Oakmont, PA
  • NPI 1356597843
  NPD tax ID

Locations

Practitioners 1

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.

• Maureen Finnegan Gebler, L.S.W., M.S.W.

  • Social Worker
  • Sharpsburg, PA
  • NPI 1174597686
  Medicare reassignment NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811106875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 ALLEGHENY RIVER BLVD",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391734",
            "telephone_number": "412-828-9458",
            "fax_number": "412-828-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 ALLEGHENY RIVER BLVD",
            "address_2": "SUITE 215",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391734",
            "telephone_number": "412-828-9458",
            "fax_number": "412-828-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIVING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-828-9458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005025-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Lim Co, DDS
• Colin O'Grady, LLC
• Connections Dental, PC
• Julie Lynn Cramer, MS, OTR/L
• Creative Living Ceneter, Inc.
• Ellwood Charles Crouse III
• Daniel Merle Stoner, D.M.D., L.L.C. (Oakmont Dental Associates)
• Daniele R Steiner MD Upmc
• Iesha Davis
• Rebecca Marie Davis, DO

• Psychologist in Oakmont, PA
• Providers in Oakmont, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.