The Patient Palette, Creative Arts Therapy, PLLC

Primary specialty

Art TherapistTaxonomy code 221700000X

Legal business name

THE PATIENT PALETTE, CREATIVE ARTS THERAPY, PLLC

Doing business as

The Patient Palette, Creative Arts Therapy, PLLC

Practice address

15 Maiden LN Ste 1405
New York, NY 10038-5113

Phone

(347) 927-6896

NPI assigned

Jan 27, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Mirabile, LCAT, ATR-BCNPI 1497367783

Title

Founder & Art Therapist

Phone

(347) 927-6896

Specialties & licenses 1

Addresses

Other names 1

• The Patient Palette, Creative Arts Therapy, PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Mirabile, LCAT

  • Art Therapist
  • New York, NY
  • NPI 1497367783
  NPD Authorized official

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1063003622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAIDEN LN STE 1405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385113",
            "telephone_number": "347-927-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAIDEN LN STE 1405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385113",
            "telephone_number": "347-927-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PATIENT PALETTE, CREATIVE ARTS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "MIRABILE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "FOUNDER & ART THERAPIST",
        "authorized_official_telephone_number": "347-927-6896",
        "authorized_official_credential": "LCAT, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Patient Palette, Creative Arts Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Patient Palette, Creative Arts Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Art Therapist in New York, NY
• Providers in New York, NY by specialty
• Art Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.