Creative Hearts Outpatient Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREATIVE HEARTS OUTPATIENT CENTER, LLC

Practice address

4048 Riverdale Rd Ste 1199
Ogden, UT 84405-1518

Phone

(775) 292-3535

Fax

(385) 510-2008

NPI assigned

Aug 11, 2023

Last updated

Aug 11, 2023By 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

Ms. Marianne Kristine MilanesNPI 1003697483

Title

Owner

Phone

(775) 292-3535

Specialties & licenses 1

Addresses

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.

• Marianne Kristine Milanes

  • Psychologist
  • Las Vegas, NV
  • NPI 1003697483
  NPD Authorized official

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1962185280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 RIVERDALE RD STE 1199",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844051518",
            "telephone_number": "775-292-3535",
            "fax_number": "385-510-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 RIVERDALE RD STE 1199",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844051518",
            "telephone_number": "775-292-3535",
            "fax_number": "385-510-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEARTS OUTPATIENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "MILANES",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-292-3535",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Crank
• Danae Crawford
• Michael E Crawford, MD
• Joelle M Creager, FNP
• Ward E Creager, DMD
• Mar Sager Creixell, PHARMD, PHD
• Crestwood Nursing and Rehab Center (Crestwood Care Center)
• LZ Crider
• Jennifer Joy Critchlow-Dawson, CMHC
• CRJ Health Services, Inc (Wasatch Pharmacy Care)

• Community/Behavioral Health Agency in Ogden, UT
• Providers in Ogden, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.