CREATE, INC. (NPI# 1174620314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174620314 |
| Entity Type | Organization |
| Organization Name | CREATE, INC. |
| Practice Address |
73 Malcolm X Blvd New York NY 10026-3007 |
| Practice Telephone | 2126631975 |
| Practice Fax Number | 2126631293 |
| Mailing Telephone | 2126631975 |
| Mailing Fax Number | 2126631293 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MR. RALPH PEREZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2126631975 |
| Authorized Official Credential | MS, CASAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 091110743 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01764878 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154711612 | Create, Inc. | Substance Abuse Rehabilitation Facility | 121-123 West 111th Street, New York, NY 10026 | 2015-02-04 |
| 1609949668 | Create, Inc. | Clinic/Center | 73 Malcolm X Blvd # 75, New York, NY 10026-3007 | 2006-11-16 |
| Street Address |
73 MALCOLM X BLVD |
| City | NEW YORK |
| State | NY |
| Zip Code | 10026-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544275 | Mary Julia Pearce | Counselor | 73 Malcolm X Blvd, New York, NY 10026-3007 | 2020-09-24 |
| 1093366874 | Ali Ruhullah Jaffer | Counselor | 73 Malcolm X Blvd, New York, NY 10026-3007 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538704663 | Glenda Murdaugh | Social Worker | 130 Lenox Avenue, Apt. 613, New York, NY 10026 | 2019-11-13 |
| 1043702574 | Gwendolyn Miller | Counselor | Create Inc, 73-75 Lenox Ave, New York, NY 10026 | 2018-05-31 |
| 1013423391 | Herman L Jackson | Physical Therapy Assistant | Physical Therapy of Harlem 1400 5th Ave, New York City, NY 10026 | 2017-12-21 |
| 1497264915 | Yudith O. Mahon | Registered Nurse | 110 West 114th Street Apt. 1b, New York, NY 10026 | 2017-09-27 |
| 1124546254 | Carmen Raina Abagail Lalonde | Psychologist | 155 West 72nd Street, Suite 505, Manhattan, NY 10026 | 2017-09-09 |
| 1972053387 | Crate | Community/Behavioral Health | 73 Lenox Avenue, New York, NY 10026 | 2016-10-10 |
| 1770931875 | Wendy P Nick | Speech-Language Pathologist | 240 W 113th St, New York, NY 10026 | 2016-05-30 |
| 1720464209 | Barbara D. Leese | Social Worker | 305 W 118th St, New York, NY 10026 | 2015-08-06 |
| 1982091880 | Philip Miller I | Counselor | 121 West 111th Street, New York, NY 10026 | 2015-04-20 |
| 1154711612 | Create, Inc. | Substance Abuse Rehabilitation Facility | 121-123 West 111th Street, New York, NY 10026 | 2015-02-04 |
| Find all providers in zip 10026 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1629600101 | Stim Acupuncture and Physical Therapy Pllc | Clinic/Center | 139 Fulton Street, Rm 208, New York, NY 10038-2538 | 2020-02-12 |
| 1811531528 | Beacon Christian Community Health Center, Inc. | Clinic/Center | 115 W 45th St Fl 4, New York, NY 10036-4005 | 2019-11-06 |
| 1629637863 | Fifth Avenue Acup Health Inc | Clinic/Center | 2 W 45th St Ste 1702, New York, NY 10036-4221 | 2019-06-11 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1932662624 | Downtown Kids Therapy Ot Pt Slp Pllc | Clinic/Center | 179 Franklin St Unit 4r, New York, NY 10013-2857 | 2019-04-09 |
| 1609347145 | Shannamd | Clinic/Center | 332 E 67th St Apt 14, New York, NY 10065-6265 | 2018-12-10 |
| 1205303591 | Logistics Health Inc. | Clinic/Center | 156 William St Fl 4, New York, NY 10038-2609 | 2018-10-25 |
| 1275018301 | Rks Surgery and Wellness PC | Clinic/Center | 67 Irving Place 10 Th Floor, New York, NY 10003 | 2018-09-25 |
| 1760965453 | Elite Skin Care Nyc | Clinic/Center | 42 Broadway Fl 12, New York, NY 10004-3892 | 2018-09-10 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on CREATE, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.