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CREATIVE CARE PSYCHIATRY LLC
NPI 1134080773
Psychiatry & Neurology - Psychiatry in North Bergen, NJ

Active since November 22, 2025
1 MARINE PLZ STE 307, NORTH BERGEN, NJ 07047(201) 429-5773(201) 425-3456 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2025, Nov 22, 2025 (2 updates tracked since 2025).

About Creative Care Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATIVE CARE PSYCHIATRY LLC (NPI 1134080773) is a healthcare organization registered as a psychiatry in North Bergen, New Jersey and active in the NPI registry since November 2025. The organization lists Bahar Hadjiesmaeiloo, Owner, as its authorized official.

NPPES Registry Identity

NPI1134080773
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCREATIVE CARE PSYCHIATRY LLC
Location Address1 MARINE PLZ STE 307North Bergen, NJ 07047-6234
Mailing Address1 Marine Plz Ste 307North Bergen, NJ 07047-6234 · (201) 429-5773 · Fax (201) 425-3456
Phone(201) 429-5773
Fax(201) 425-3456
Organization SubpartNo
Authorized OfficialBahar HadjiesmaeilooOwner · (703) 980-5042
Enumeration DateNovember 22, 2025
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1134080773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1 MARINE PLZ STE 307, North Bergen, NJ 07047
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Creative Care Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Creative Care Psychiatry LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Mylene Alberto, APN
Nurse Practitioner
NPI 1720321052
1 MARINE PLZ STE 307
North Bergen, NJ 07047
(201) 429-5773
✔ PECOS✔ Accepts MedicareSame address
Ida Kenna, LPC
Mental Health Counselor
NPI 1508192907
601 BROADWAY
Bayonne, NJ 07002
(201) 339-9200
✔ PECOS✔ Accepts Medicare2.6 mi
Leticia Gonzalez, L.C.S.W.
Clinical Social Worker
NPI 1336293463
655 E JERSEY ST
Elizabeth, NJ 07206
(908) 994-7223
✔ PECOS✔ Accepts Medicare6.2 mi
Mashenda Green, APRN
Nurse Practitioner
NPI 1144415050
90 RALPH ST APT 3
Belleville, NJ 07109
(973) 302-4949
✔ PECOS6.9 mi
Bahar Hadjiesmaeiloo, M.D.
Psychiatry
NPI 1548585292
130 S BRYN MAWR AVE
Bryn Mawr, PA 19010
(484) 337-4286
✔ PECOS✔ Accepts Medicare80 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creative Care Psychiatry LLC's NPI number?

The NPI number for Creative Care Psychiatry LLC is 1134080773. It was assigned to this organization in the NPPES registry on November 22, 2025.

Where is Creative Care Psychiatry LLC located?

Creative Care Psychiatry LLC is located at 1 Marine Plz Ste 307, North Bergen, NJ 07047. The listed phone number is (201) 429-5773.

What is Creative Care Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Creative Care Psychiatry LLC enrolled in Medicare?

Yes. Creative Care Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Creative Care Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Creative Care Psychiatry LLC, in Clinical Social Worker, Mental Health Counselor, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Creative Care Psychiatry LLC was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.