Individual provider Active NPI

Catherine M Rosa

  • Art Therapist
  • Clinton, NJ
National Provider Identifier
1073018057
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
16LP00004000 Issued in NJ
Practice address
44 Old Highway 22 Ste 7
Clinton, NJ 08809-1376
Phone
(732) 439-3385
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 16LP00004000 NJ Primary
Art Therapist 221700000X 08-158

Addresses

Primary practice location

44 Old Highway 22 Ste 7
Clinton, NJ 08809-1376

Mailing address

44 Old Highway 22 Ste 7
Clinton, NJ 08809-1376
Phone (732) 439-3385

Other identifiers 2

IdentifierTypeStateIssuer
08-158OtherART THERAPIST
16LP00004000OtherNJSTATE OF NJ DIVISION OF CONSUMER AFFAIRS-LICENSED PROFESSIONAL ART THERAPIST

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
16LP00004000NJMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1073018057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 OLD HIGHWAY 22 STE 7",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091376",
            "telephone_number": "732-439-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 OLD HIGHWAY 22 STE 7",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091376",
            "telephone_number": "732-439-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": "16LP00004000",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "08-158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ART THERAPIST",
            "identifier": "08-158",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NJ DIVISION OF CONSUMER AFFAIRS-LICENSED PROFESSIONAL ART THERAPIST",
            "identifier": "16LP00004000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.