Illuminating Psychological Services Corporation
NPI 1861090441ActiveOrganization· Psychologist, Counseling· Riverside, CA
Psychologist, Counseling in Riverside, California, registered in NPPES in October 2020. The authorized official on file is Ina J. Creekbaum, ED.D, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861090441 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 15, 2020 |
| Last updated in NPPES | Mar 14, 2025 |
| Certified by provider | Mar 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | — | — |
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 Part B Supplier - Clinic/Group Practice (CA) |
|---|
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