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

Active since September 09, 2020PECOS Enrolled
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: August 02, 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.

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
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

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. Christiian Storm Credle Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 enrollment system.

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 5 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.