Active NPI
Audrey Mahler
- Art Therapist
- New York, NY
National Provider Identifier
1033510870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 001457-1
- Practice address
- 139 Fulton St # 612C
New York, NY 10038-2594 - Phone
- (646) 807-4193
- NPI assigned
- Sep 11, 2014
- Reactivated
- Dec 30, 2015
- 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 | 001457-1 | NY | Primary |
Addresses
Primary practice location
139 Fulton St # 612C
New York, NY 10038-2594
Mailing address
139 Fulton St # 612C
New York, NY 10038-2594
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 |
|---|---|---|---|
| 001457-1 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audrey Mahler Lcat Inc | Art Therapist | Current | Accepting new patients |
Locations
139 Fulton St
#612C
New York, NY 10038
Phone (646) 807-4193
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Art Therapist
- New York, NY
- NPI 1932985991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1033510870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 FULTON ST # 612C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100382594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 FULTON ST # 612C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100382594",
"telephone_number": "646-807-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHLER",
"first_name": "AUDREY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"deactivation_date": "2015-09-03",
"reactivation_date": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "001457-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.