Ina Creekbaum, EDD
NPI 1528522216ActiveIndividual· Psychologist, Counseling· Riverside, CA
Psychologist, Counseling (EDD) in Riverside, California, licensed in CA, with an NPI issued in January 2019. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1528522216 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | EDD |
| Sole proprietor | Yes |
| NPI issued | Jan 26, 2019 |
| Last updated in NPPES | Apr 3, 2020 |
| Certified by provider | Apr 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 30705 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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