Beauregard Creative Arts Therapy PLLC

Primary specialty

Drama TherapistTaxonomy code 101200000X

Legal business name

BEAUREGARD CREATIVE ARTS THERAPY PLLC

Practice address

225 Broadway Ste 2130
New York, NY 10007-3733

Phone

(917) 204-2846

NPI assigned

Feb 29, 2024

Last updated

Feb 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Beauregard, RDT/BCT, LCATNPI 1609998061

Title

Founder/Sole Member

Phone

(917) 204-2846

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Beauregard, RDT-BCT, LCAT

  • Art Therapist
  • New York, NY
  • NPI 1609998061
  NPD Authorized official

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1093572679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COFFEY ST APT 206C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112311055",
            "telephone_number": "917-204-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 2130",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073733",
            "telephone_number": "917-204-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUREGARD CREATIVE ARTS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "BEAUREGARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FOUNDER/SOLE MEMBER",
        "authorized_official_telephone_number": "917-204-2846",
        "authorized_official_credential": "RDT/BCT, LCAT"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "",
            "desc": "Drama Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Beauharnais, PA
• Marie-Claude Beaulieu, M.D.
• Shaun Yvon Beaulieu, PHYSICIAN ASSISTANT
• Jean-Philippe Beaumont, LMSW
• Renae Brooke Beaumont, PHD
• Mark Beauregard, RDT-BCT, LCAT
• Rachel Celestine Beauregard, LMSW
• Beaute Des Arts
• Beautiful Life Rehab Physical Therapy, P.C.
• Beautiful Smiles Dental Associates PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.