Active NPI
Lynn E. Wohland, ATR-BC, LCAT
- Art Therapist
- Islandia, NY
National Provider Identifier
1114698164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 002383-01
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 002383-01 | NY | MD | Art 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.