CREDOSTAR PSYCHIATRIC NURSING CORPORATION
NPI 1164237400
Nurse Practitioner - Psychiatric/Mental Health in Stockton, CA
About Credostar Psychiatric Nursing Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREDOSTAR PSYCHIATRIC NURSING CORPORATION (NPI 1164237400) is a healthcare organization registered as a psychiatric/mental health in Stockton, California and active in the NPI registry since February 2025. The organization lists Osita Stella Nlemchukwu, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKTON, CA 95207
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 Credostar Psychiatric Nursing Corporation's NPI number?
The NPI number for Credostar Psychiatric Nursing Corporation is 1164237400. It was assigned to this organization in the NPPES registry on February 12, 2025.
Where is Credostar Psychiatric Nursing Corporation located?
Credostar Psychiatric Nursing Corporation is located at 4719 Quail Lakes Dr Ste G1108, Stockton, CA 95207. The listed phone number is (832) 904-6531.
What is Credostar Psychiatric Nursing Corporation's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
When was this NPI record last updated?
The NPPES record for Credostar Psychiatric Nursing Corporation was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Credostar Psychiatric Nursing Corporation · NPI 1164237400
Psychiatric/Mental Health organization in Stockton, California. Organization record, active in the CMS NPPES registry since February 12, 2025.
## Identity
- **NPI:** 1164237400 (Entity type: Organization)
- **Enumerated:** February 12, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** CREDOSTAR PSYCHIATRIC NURSING CORPORATION (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Osita Nlemchukwu, CEO
## Practice location
- **Address:** 4719 QUAIL LAKES DR STE G1108, Stockton, CA 95207-8140
- **Phone:** (832) 904-6531
## Record status
- **NPPES last updated:** February 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164237400) · Data from the CMS NPPES public registry.