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DR. MICHAEL SCOTT CREEKPAUM PHD
NPI 1285244723
Psychologist - Clinical in San Jose, CA

Active since August 07, 2020PECOS Enrolled
5755 COTTLE RD BLDG 23, SAN JOSE, CA 95123(408) 972-3095 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Aug 7, 2020 (2 updates tracked since 2020).

About Dr. Michael Scott Creekpaum Phd NPPES

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

DR. MICHAEL SCOTT CREEKPAUM PHD (NPI 1285244723) is an individual clinical provider in San Jose, California, licensed in California (PSY36113) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1285244723
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL SCOTT CREEKPAUMCredential: PHD
Location Address5755 COTTLE RD BLDG 23San Jose, CA 95123-3600
Mailing AddressPo Box 53166San Jose, CA 95153-0166 · (408) 624-7882
Phone(408) 972-3095
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 7, 2020
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1285244723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY36113
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5755 COTTLE RD BLDG 23, San Jose, CA 95123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Scott Creekpaum Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395237382
PECOS Enrollment IDI20251126001408
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLI PERKINS
Student in an Organized Health Care Education/Training Program
5755 COTTLE RD BLDG 23
SAN JOSE, CA 95123
Santa Clara County (408) 972-3000
ERIC AREVALO
Student in an Organized Health Care Education/Training Program
5755 COTTLE RD BLDG 23
SAN JOSE, CA 95123
Santa Clara County (909) 973-7457
LUIS ESPINOSA MD
Psychiatry & Neurology (Psychiatry)
5755 COTTLE RD BLDG 23
SAN JOSE, CA 95123
Santa Clara County (408) 972-3233
MATTHEW E LINDER
Student in an Organized Health Care Education/Training Program
5755 COTTLE RD BLDG 23
SAN JOSE, CA 95123
Santa Clara County (408) 972-3233

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 Michael Creekpaum's NPI number?

The NPI number for Michael Creekpaum is 1285244723. It was assigned to this individual provider in the NPPES registry on August 7, 2020.

Where is Michael Creekpaum located?

Michael Creekpaum practices at 5755 Cottle Rd Bldg 23, San Jose, CA 95123. The listed phone number is (408) 972-3095.

What is Michael Creekpaum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michael Creekpaum enrolled in Medicare?

Yes. Michael Creekpaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Creekpaum was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.