Active NPI
Ingrid Mellor, LCAT
- Art Therapist
- New York, NY
National Provider Identifier
1114368180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 002051
- Practice address
- 29 W 36TH St Ste 5E
New York, NY 10018-7907 - Phone
- (908) 240-1462
- NPI assigned
- Jul 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 002051 | NY | Primary |
Addresses
Primary practice location
29 W 36TH St Ste 5E
New York, NY 10018-7907
Mailing address
486 Putnam Ave Apt 2
Brooklyn, NY 11221-1003
Phone (908) 240-1462
Other practice location 1
135 W 50th St
6th Floor
New York, NY 10020-1201
Phone (212) 582-9100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1114368180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "486 PUTNAM AVE APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112211003",
"telephone_number": "908-240-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 W 36TH ST STE 5E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187907",
"telephone_number": "908-240-1462"
}
],
"practiceLocations": [
{
"address_1": "135 W 50th St",
"address_2": "6th Floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100201201",
"country_code": "US",
"telephone_number": "212-582-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELLOR",
"first_name": "INGRID",
"credential": "LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "002051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.