Active NPI
Jade Aubrey Giffin, MA
- Art Therapist
- Hawthorne, NY
National Provider Identifier
1003117540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- P78370
- Practice address
- 500 Linda Ave
Linden Hill RTF - J.B.F.C.S.
Hawthorne, NY 10532-1313 - Phone
- (917) 929-1234
- NPI assigned
- Nov 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | P78370 | NY | Primary |
Addresses
Primary practice location
500 Linda Ave
Linden Hill RTF - J.B.F.C.S.
Hawthorne, NY 10532-1313
Mailing address
248 E 83Rd St
New York, NY 10028-2801
Phone (917) 929-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P78370 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1003117540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 E 83RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282801",
"telephone_number": "917-929-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LINDA AVE",
"address_2": "LINDEN HILL RTF - J.B.F.C.S.",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321313",
"telephone_number": "917-929-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFIN",
"first_name": "JADE",
"middle_name": "AUBREY",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "P78370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.