Active NPI
Jacqueline Christine McNally, LCAT, R-DMT, MS
- Dance Therapist
- Astoria, NY
National Provider Identifier
1164165619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dance Therapist
- License
- 002706
- Practice address
- 3022 35TH St Apt 1B
Astoria, NY 11103-4720 - Phone
- (917) 943-2520
- NPI assigned
- Apr 13, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dance Therapist | 225600000X | 002706 | NY | Primary |
Addresses
Primary practice location
3022 35TH St Apt 1B
Astoria, NY 11103-4720
Mailing address
3022 35TH St Apt 1B
Astoria, NY 11103-4720
Phone (917) 943-2520
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002706 | NY | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1164165619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 35TH ST APT 1B",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034720",
"telephone_number": "917-943-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3022 35TH ST APT 1B",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034720",
"telephone_number": "917-943-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "JACQUELINE",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "LCAT, R-DMT, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-13",
"last_updated": "2022-04-13",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225600000X",
"taxonomy_group": "",
"desc": "Dance Therapist",
"state": "NY",
"license": "002706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.