Active NPI
Lucy McLellan, M.A.
- Art Therapist
- New York, NY
National Provider Identifier
1174647853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 05 000072
- Practice address
- 225 W 99TH St
New York, NY 10025-5014 - Phone
- (212) 222-1969
- NPI assigned
- Mar 19, 2007
- 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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | 05 000072 | NY | Primary |
Addresses
Primary practice location
225 W 99TH St
New York, NY 10025-5014
Mailing address
161 Prospect Park W
Apt 3R
Brooklyn, NY 11215-4514
Phone (917) 648-0201
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05 000072 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174647853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 PROSPECT PARK W",
"address_2": "APT 3R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154514",
"telephone_number": "917-648-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W 99TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100255014",
"telephone_number": "212-222-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLELLAN",
"first_name": "LUCY",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "05 000072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.