Alissa Paulison, LPAT, ATR-BC

Primary specialty

Art TherapistTaxonomy code 221700000X

License

16LP00024300 Issued in NJ

Practice address

17 Woodport Rd Ste 2a
Sparta, NJ 07871-2415

Phone

(973) 222-3030

NPI assigned

Nov 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1174396519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LAKE DR W",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WOODPORT RD STE 2A",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712415",
            "telephone_number": "973-222-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULISON",
        "first_name": "ALISSA",
        "name_prefix": "Ms.",
        "credential": "LPAT, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": "16LP00024300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharad B Patel, PHARMD
• Shefali Patel
• Anna Patras, D.M.D.
• Michael Patsis, MD
• Ashley Patti, LPC
• Heather Pedersen, LCSW, LCADC
• Shirley Lacaden Pegollo, APN
• Peli Eyecare and Associates
• Kyle Penberthy Leroy, MSED
• Yashiris Peralta Lendof

• Art Therapist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Art Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.