Individual provider Active NPI

Samantha Shae Degaro, LP-CAT

  • Art Therapist
  • Levittown, NY
National Provider Identifier
1013786516
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
P119482 Issued in NY
Practice address
152 Center LN
Levittown, NY 11756-1007
Phone
(516) 719-0313
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 P119482 NY Primary

Addresses

Primary practice location

152 Center LN
Levittown, NY 11756-1007

Mailing address

756 S Country Rd
East Patchogue, NY 11772-5602
Phone (631) 953-3692

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
P119482NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1013786516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 S COUNTRY RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725602",
            "telephone_number": "631-953-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CENTER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561007",
            "telephone_number": "516-719-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGARO",
        "first_name": "SAMANTHA",
        "middle_name": "SHAE",
        "name_prefix": "Ms.",
        "credential": "LP-CAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "P119482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.