Active NPI
Julie Hayes O'Connor, LCAT
- Art Therapist
- Grand Island, NY
National Provider Identifier
1003694522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000768
- Practice address
- 361 Tracey LN
Grand Island, NY 14072-1949 - Phone
- (716) 909-9359
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 000768 | NY | Primary |
Addresses
Primary practice location
361 Tracey LN
Grand Island, NY 14072-1949
Mailing address
361 Tracey LN
Grand Island, NY 14072-1949
Phone (716) 909-9359
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000768 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1003694522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 TRACEY LN",
"city": "GRAND ISLAND",
"state": "NY",
"postal_code": "140721949",
"telephone_number": "716-909-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 TRACEY LN",
"city": "GRAND ISLAND",
"state": "NY",
"postal_code": "140721949",
"telephone_number": "716-909-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "JULIE",
"middle_name": "HAYES",
"credential": "LCAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.