NPIMap

Organization Active NPI

Creative Health Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Collegeville, PA
National Provider Identifier
1821241928
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CREATIVE HEALTH SERVICES, INC.
Practice address
35 Evansburg Rd
Collegeville, PA 19426
Phone
(484) 854-9833
NPI assigned
Nov 3, 2008
Organization subpart
Yes
Parent organization
CREATIVE HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Mr. Randall D. Reber
Title
Chief Financial Officer
Phone
(484) 941-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

35 Evansburg Rd
Collegeville, PA 19426

Mailing address

11 Robinson St
Pottstown, PA 19464-6439
Phone (484) 941-0500

Other practice location 1

11 Robinson St
Pottstown, PA 19464-6439
Phone (484) 941-0500

Other identifiers 1

IdentifierTypeStateIssuer
100751163MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Creative Health Services in12 organizations share this tax ID, including this one
Part of
Creative Health Services in

Other organizations with this tax ID 11

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

Locations

35 Evansburg Rd
Collegeville, PA 19426
Phone (484) 854-9833

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1821241928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROBINSON ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646439",
            "telephone_number": "484-941-0500",
            "fax_number": "484-941-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 EVANSBURG RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "19426",
            "telephone_number": "484-854-9833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Robinson St",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194646439",
            "country_code": "US",
            "telephone_number": "484-941-0500",
            "fax_number": "484-941-0515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATIVE HEALTH SERVICES, INC.",
        "enumeration_date": "2008-11-03",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "REBER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "484-941-0500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100751163",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.