Individual provider Active NPI

Katharine Hertweck, MA, LCAT ATR-P BC

  • Art Therapist
  • Cedarhurst, NY
National Provider Identifier
1104424126
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
002503 Issued in NY
Practice address
91 Carman Ave
Cedarhurst, NY 11516-1937
Phone
(516) 941-6962
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 002503 NY Primary

Addresses

Primary practice location

91 Carman Ave
Cedarhurst, NY 11516-1937

Mailing address

2257 Seamans Neck Rd
Seaford, NY 11783-2546

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

State licenses

LicenseStateTypeSpecialty
002503NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inflow Creative Arts Therapy PLLC Art Therapist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1104424126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 SEAMANS NECK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CARMAN AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161937",
            "telephone_number": "516-941-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTWECK",
        "first_name": "KATHARINE",
        "credential": "MA, LCAT ATR-P BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.