Active NPI
Georgiana Haumann Jungels, MA, ATR-BC, LCAT
- Art Therapist
- Tonawanda, NY
National Provider Identifier
1043351190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000765
- Practice address
- 1914 Colvin Blvd
Suite 101
Tonawanda, NY 14150-6973 - Phone
- (716) 837-8333
- Fax
- (716) 837-3050
- NPI assigned
- Feb 10, 2007
- 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 | 000765 | NY | Primary |
Addresses
Primary practice location
1914 Colvin Blvd
Suite 101
Tonawanda, NY 14150-6973
Mailing address
745 W Delavan Ave
Buffalo, NY 14222-1220
Phone (716) 886-2083
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043351190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 W DELAVAN AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142221220",
"telephone_number": "716-886-2083",
"fax_number": "716-886-2083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 COLVIN BLVD",
"address_2": "SUITE 101",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141506973",
"telephone_number": "716-837-8333",
"fax_number": "716-837-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNGELS",
"first_name": "GEORGIANA",
"middle_name": "HAUMANN",
"name_prefix": "Prof.",
"credential": "MA, ATR-BC, LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.