Active NPI
Eunjie Lee
- Art Therapist
- Brooklyn, NY
National Provider Identifier
1033680822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- P14257
- Practice address
- 315 Wyckoff Ave Ste 6
Brooklyn, NY 11237-5842 - Phone
- (718) 497-6090
- NPI assigned
- Dec 6, 2018
- 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 | P14257 | NY | Primary |
Addresses
Primary practice location
315 Wyckoff Ave Ste 6
Brooklyn, NY 11237-5842
Mailing address
315 Wyckoff Ave Ste 6
Brooklyn, NY 11237-5842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P14257 | Other | NY | NYS OFFICE OF PROFESSIONS LCAT-LP |
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 |
|---|---|---|---|
| P14257 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1033680822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 WYCKOFF AVE STE 6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112375842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 WYCKOFF AVE STE 6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112375842",
"telephone_number": "718-497-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EUNJIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "P14257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS OFFICE OF PROFESSIONS LCAT-LP",
"identifier": "P14257",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.