Organization Active NPI

Benjamin Davis Creative Arts Therapy PLLC

  • Art Therapist
  • New York, NY
National Provider Identifier
1235731555
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Legal business name
BENJAMIN DAVIS CREATIVE ARTS THERAPY PLLC
Practice address
125 E 23Rd St Ste 402
New York, NY 10010-4547
Phone
(917) 476-0539
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Mr. Benjamin Davis, ATR-BC, LCATNPI 1235567447
Title
President
Phone
(917) 476-0539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

125 E 23Rd St Ste 402
New York, NY 10010-4547

Mailing address

125 East 23Rd Street
Suite 402 #2
New York, NY 10010
Phone (917) 476-0539

Other names 1

  • Full Spectrum Creative Arts Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

125 E 23rd St
Ste 402
New York, NY 10010
Phone (646) 650-2026

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1235731555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAST 23RD STREET",
            "address_2": "SUITE 402 #2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "917-476-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 23RD ST STE 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104547",
            "telephone_number": "917-476-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN DAVIS CREATIVE ARTS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-476-0539",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATR-BC, LCAT"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Spectrum Creative Arts Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 31, 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.