Individual provider Active NPI

Mor Keshet, MPS, LCAT

  • Art Therapist
  • Huntington, NY
National Provider Identifier
1144789769
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
002308 Issued in NY
Practice address
181 Main St
Huntington, NY 11743-6918
Phone
(631) 759-8278
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 221700000X 002308 NY Primary

Addresses

Primary practice location

181 Main St
Huntington, NY 11743-6918

Mailing address

4 Meroke CT
Huntington Station, NY 11746-2014

Other identifiers 1

IdentifierTypeStateIssuer
002308OtherNYNEW YORK STATE OFFICE OF THE PROFESSIONS

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
002308NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Creative Arts Therapy, PLLC Art Therapist CurrentSince May 19, 2024 Accepting new patients

Locations

109 Browns Rd
Huntington, NY 11743
Phone (631) 759-8278

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1144789769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEROKE CT",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436918",
            "telephone_number": "631-759-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHET",
        "first_name": "MOR",
        "credential": "MPS, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE OFFICE OF THE PROFESSIONS",
            "identifier": "002308",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.