Individual provider Active NPI

Lynn E. Wohland, ATR-BC, LCAT

  • Art Therapist
  • Islandia, NY
National Provider Identifier
1114698164
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
002383-01 Issued in NY
Practice address
1777 Veterans Memorial Hwy
Islandia, NY 11749-1555
Phone
(631) 630-6439
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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 002383-01 NY Primary

Addresses

Primary practice location

1777 Veterans Memorial Hwy
Islandia, NY 11749-1555

Mailing address

2 Merrick Rd
Shirley, NY 11967-2310
Phone (631) 482-2084

Other practice location 1

1050 Hallock Ave Ste 3
Port Jefferson Station, NY 11776-1214
Phone (631) 540-3772

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
002383-01NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1114698164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERRICK RD",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672310",
            "telephone_number": "631-482-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 VETERANS MEMORIAL HWY",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491555",
            "telephone_number": "631-630-6439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Hallock Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117761214",
            "country_code": "US",
            "telephone_number": "631-540-3772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOHLAND",
        "first_name": "LYNN",
        "middle_name": "E.",
        "credential": "ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002383-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.