Individual provider Active NPI

Suzanne Garrison Ehinger, MS, LCAT, BC-DMT

  • Dance Therapist
  • Brooklyn, NY
National Provider Identifier
1124534813
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dance TherapistTaxonomy code 225600000X
License
001767-1 Issued in NY
Practice address
36 Plaza St E Ste 1G
Brooklyn, NY 11238-5039
Phone
(917) 765-2830
NPI assigned
Dec 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X 001767-1 NY Primary

Addresses

Primary practice location

36 Plaza St E Ste 1G
Brooklyn, NY 11238-5039

Mailing address

441 16TH St Apt 2R
Brooklyn, NY 11215-5892
Phone (917) 530-5353

Other names 1

  • Suzanne Garrison Professional name

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 Science

State licenses

LicenseStateTypeSpecialty
001767-1NYMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1124534813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 16TH ST APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155892",
            "telephone_number": "917-530-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PLAZA ST E STE 1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385039",
            "telephone_number": "917-765-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHINGER",
        "first_name": "SUZANNE",
        "middle_name": "GARRISON",
        "credential": "MS, LCAT, BC-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "NY",
            "license": "001767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "GARRISON",
            "credential": "MS, LCAT, BC-DMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.