Creative Psychological Solutions LLC
Psychologist in Crystal Lake, IL. Organization (NPI-2).
NPI number1679719652
StatusActive
Last updated in NPPESAug 23, 2011
Details
- NPI
- 1679719652
- Entity type
- Organization (NPI-2)
- Legal business name
- Creative Psychological Solutions LLC
- Organization subpart
- No
- Enumeration date
- Dec 23, 2008
- Last updated
- Aug 23, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 071-006447 | IL | Yes |
| 103T00000X | Psychologist | 3-1970 | TX |
Practice location
350 E Congress PkwySuite L
Crystal Lake, IL 60014-6284
Phone 815-355-4292 · Fax 815-356-7139
Mailing address
104 W Meadow DrCortland, IL 60112-4226
Phone 815-355-4292 · Fax 815-356-7139
Authorized official
Catherine Dean
Sole Member
8153554292
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