Alyssa Axelrod, MASTERS ARTS THERAPY

Primary specialty

Art TherapistTaxonomy code 221700000X

Practice address

264 Beach 19TH St
Far Rockaway, NY 11691-4431

Phone

(718) 868-2961

NPI assigned

Nov 28, 2022

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

Practice roles

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.

• On Our Way Learning Center

  • Early Intervention Provider Agency
  • Far Rockaway, NY
  • NPI 1780829457
  NPD (past)

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1194435537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HOLLY LN",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591317",
            "telephone_number": "516-371-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BEACH 19TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914431",
            "telephone_number": "718-868-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELROD",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "MASTERS ARTS THERAPY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheilise Atkinson
• Marie Ange Audain, RPA-C
• Suzanna Aulova, PHARM D
• Gina Marie Auricchio, MD
• Robyn Avigdor, NP
• Tugba Ay
• Ivette Ayala
• Victoria Ayala, MD
• Abul Kalam Azad, M.D.
• Najiib M Azad, D.O.

• Art Therapist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Art Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.