DR. CHRISTIIAN STORM CREDLE PSYD
NPI 1316552102
Psychologist in Sharon Hill, PA

Active since September 09, 2020PECOS EnrolledAccepts Medicare Assignment
907 CHESTER PIKE, SHARON HILL, PA 19079(610) 583-1177(610) 583-1177 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Christiian Storm Credle Psyd NPPES

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

DR. CHRISTIIAN STORM CREDLE PSYD (NPI 1316552102) is an individual psychologist in Sharon Hill, Pennsylvania, licensed in Pennsylvania (PS019097) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1316552102
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHRISTIIAN STORM CREDLECredential: PSYD
Location Address907 CHESTER PIKESharon Hill, PA 19079-1411
Mailing Address1728 S 18th StPhiladelphia, PA 19145-2103 · (732) 395-3900
Fax(610) 583-1177
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
✔ NPI 1316552102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in PA · PS019097
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
907 CHESTER PIKE, Sharon Hill, PA 19079

Other Identifiers 1

OtherPS019097Lisence Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Christiian Storm Credle Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547671877
PECOS Enrollment IDI20201118000142
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Christiian Credle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1348 BAINBRIDGE ST
Philadelphia, PA 19147
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 18 clinicians in this Medicare group
Clinic/Center
2304 EDGMONT AVE
Chester, PA 19013
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 22 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 6

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

Dentist
907 CHESTER PIKE
SHARON HILL, PA 19079
Nurse Practitioner (Family)
907 CHESTER PIKE
SHARON HILL, PA 19079
Clinic/Center
907 CHESTER PIKE
SHARON HILL, PA 19079
Dietitian, Registered
907 CHESTER PIKE
SHARON HILL, PA 19079
Dentist (Dental Public Health)
907 CHESTER PIKE
SHARON HILL, PA 19079
Dentist (General Practice)
907 CHESTER PIKE
SHARON HILL, PA 19079

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 Christiian Credle's NPI number?

The NPI number for Christiian Credle is 1316552102. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Christiian Credle located?

Christiian Credle practices at 907 Chester Pike, Sharon Hill, PA 19079. The listed phone number is (610) 583-1177.

What is Christiian Credle's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Christiian Credle enrolled in Medicare?

Yes. Christiian Credle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Christiian Credle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christiian Credle reassigns Medicare benefits to 2 organizations: Mazzoni Center (Philadelphia, PA) and Aids Care Group (Chester, PA). Each 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 Christiian Credle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christiian Credle accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Christiian Credle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Christiian Credle was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.