Healthcare Provider Details

I. General information

NPI: 1962552455
Provider Name (Legal Business Name): JAMES SCOTT CREIGHTON PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date: 02/29/2012
Reactivation Date: 06/06/2019

III. Provider practice location address

4306 YOAKUM BLVD STE 295F
HOUSTON TX
77006-5851
US

IV. Provider business mailing address

2701 HELENA ST APT 206
HOUSTON TX
77006-1571
US

V. Phone/Fax

Practice location:
  • Phone: 346-298-0293
  • Fax:
Mailing address:
  • Phone: 617-642-3015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number38084
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: