Individual provider Active NPI

Erika K Creydt, PSY.D.

  • Psychologist
  • Blaine, WA
National Provider Identifier
1942502778
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY60197433 Issued in WA
Practice address
8027 Niska Rd
Blaine, WA 98230-9553
Phone
(360) 990-3848
NPI assigned
Nov 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60160503 WA
Psychologist 103T00000X PY60197433 WA Primary

Addresses

Primary practice location

8027 Niska Rd
Blaine, WA 98230-9553

Mailing address

288 Martin Street #1
288 Martin Street Suite 100
Blaine, WA 98230
Phone (360) 788-4228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200417002458 WA Practitioner - Clinical Psychologist 5496013484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Touchstone Behavioral Health, LLCGroup PAC ID 5597022475, 2 clinicians

Practice addresses (Care Compare)

288 Martin St
Suite 100
Blaine, WA 98230-4045
Phone (360) 788-4228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH60160503WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Behavioral Health, LLC CurrentSince Jul 30, 2012 Accepting new patients
Touchstone Behavioral Health, LLC Current Accepting new patients

Locations

288 Martin St
Ste 100
Blaine, WA 98230
Phone (360) 594-0767

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1942502778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 MARTIN STREET #1",
            "address_2": "288 MARTIN STREET SUITE 100",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "98230",
            "telephone_number": "360-788-4228",
            "fax_number": "360-778-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8027 NISKA RD",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309553",
            "telephone_number": "360-990-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREYDT",
        "first_name": "ERIKA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60160503",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60197433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, WA

Sources for this page

Verify at the official NPI Registry.