Elyse Amy Miller, LCAT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

000021-1 Issued in NY

Practice address

1000 Park Blvd Unit F
Massapequa Park, NY 11762-2740

Phone

(516) 984-2712

NPI assigned

Nov 13, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073684882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WAGON LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564112",
            "telephone_number": "516-735-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARK BLVD UNIT F",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622740",
            "telephone_number": "516-984-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELYSE",
        "middle_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000021",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "000021-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Meehan, M.S.
• Ginger Mencher, LCSW
• Theresa Mercado
• Charlotte Messina, OTR/L
• Megan Rose Meyerback, MA SLP TSSLD
• Sean Thomas Miller
• William Milton
• Adrienne Mogavero, LMSW
• Allan Mohr, DDS
• Linda Moleta, MS

• Art Therapist in Massapequa Park, NY
• Providers in Massapequa Park, 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 Sep 11, 2025; 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.