Credostar Psychiatric Nursing Corporation
NPI 1164237400 · Psychiatric/Mental Health Nurse Practitioner · Stockton, CA
Credostar Psychiatric Nursing Corporation is a Psychiatric/Mental Health Nurse Practitioner organization in Stockton, CA (NPI 1164237400).
Provider details
- NPI number
- 1164237400
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Osita Nlemchukwu, Ceo(832) 904-6531
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Credostar Psychiatric Nursing Corporation
Registry dates
- Enumerated
- 2025-02-12
- Last updated
- 2025-02-12
- Certified
- 2025-02-12
Frequently asked questions
- What is Credostar Psychiatric Nursing Corporation's NPI number?
- Credostar Psychiatric Nursing Corporation's National Provider Identifier (NPI) is 1164237400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Credostar Psychiatric Nursing Corporation?
- Credostar Psychiatric Nursing Corporation is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Credostar Psychiatric Nursing Corporation located?
- Credostar Psychiatric Nursing Corporation's practice location on file with NPPES is 4719 Quail Lakes Dr Ste G1108, Stockton, CA 95207-8140.
- What is Credostar Psychiatric Nursing Corporation's phone number?
- The practice phone number listed in the NPPES registry for Credostar Psychiatric Nursing Corporation is (832) 904-6531.
- Who is the authorized official for Credostar Psychiatric Nursing Corporation?
- The authorized official listed on Credostar Psychiatric Nursing Corporation's NPPES record is Osita Nlemchukwu, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Credostar Psychiatric Nursing Corporation's NPI active?
- Yes — Credostar Psychiatric Nursing Corporation's NPI (1164237400) is active in the NPPES registry as of the last update on 2025-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.