Individual provider Active NPI

Diane Robin Lichtenberg-Scanlan, LCAT

  • Art Therapist
  • Greenvale, NY
National Provider Identifier
1003258401
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
000556 Issued in NY
Practice address
66 Glen Cove Rd
Greenvale, NY 11548-1048
Phone
(516) 286-1611
NPI assigned
Jul 25, 2013
Last updated
Jul 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 000556 NY Primary

Addresses

Primary practice location

66 Glen Cove Rd
Greenvale, NY 11548-1048

Mailing address

66 Glen Cove Rd
P.O. Box 224
Greenvale, NY 11548-1048
Phone (516) 286-1611

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

State licenses

LicenseStateTypeSpecialty
000556NYMDPsychoanalyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1003258401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 GLEN COVE RD",
            "address_2": "P.O. BOX 224",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481048",
            "telephone_number": "516-286-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 GLEN COVE RD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481048",
            "telephone_number": "516-286-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTENBERG-SCANLAN",
        "first_name": "DIANE",
        "middle_name": "ROBIN",
        "credential": "LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "000556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.