Organization Active NPI

Creative Spark Therapy

  • Community/Behavioral Health Agency
  • Homestead, FL
National Provider Identifier
1992260368
Registry record updated Feb 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATIVE SPARK THERAPY
Practice address
2110 NE 38TH Rd
Homestead, FL 33033-5104
Phone
(786) 417-8272
NPI assigned
Feb 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2019

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

Authorized official

Name
Crystal LozanoNPI 1023465762
Title
President
Phone
(786) 417-8272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2110 NE 38TH Rd
Homestead, FL 33033-5104

Mailing address

2110 NE 38TH Rd
Homestead, FL 33033-5104
Phone (786) 417-8272

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549670400000",
    "number": "1992260368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 NE 38TH RD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335104",
            "telephone_number": "786-417-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 NE 38TH RD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335104",
            "telephone_number": "786-417-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SPARK THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-09",
        "last_updated": "2019-02-09",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-417-8272"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.