Provider Demographics
NPI:1326566019
Name:CREED, KRISTI A (ACSW, PSB)
Entity type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:A
Last Name:CREED
Suffix:
Gender:F
Credentials:ACSW, PSB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-0005
Mailing Address - Country:US
Mailing Address - Phone:424-284-9249
Mailing Address - Fax:
Practice Address - Street 1:3043 W ROBERTS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-2160
Practice Address - Country:US
Practice Address - Phone:559-352-0860
Practice Address - Fax:559-272-6431
Is Sole Proprietor?:No
Enumeration Date:2017-09-02
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB94025941103TC2200X, 103T00000X
CA1073311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1477887834Medicaid