Organization Active NPI

Soma Creative Arts Therapy, PLLC

  • Art Therapist
  • Ulster Park, NY
National Provider Identifier
1255022604
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Legal business name
SOMA CREATIVE ARTS THERAPY, PLLC
Practice address
280 Soper Road
Ulster Park, NY 12487-5351
Phone
(518) 331-5459
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Cristina Maria Fort, LCATNPI 1134406093
Title
Owner
Phone
(518) 331-5459

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

280 Soper Road
Ulster Park, NY 12487-5351

Mailing address

280 Soper Road
Ulster Park, NY 12487-5351
Phone (518) 331-5459

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1255022604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SOPER ROAD",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875351",
            "telephone_number": "518-331-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SOPER ROAD",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875351",
            "telephone_number": "518-331-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA CREATIVE ARTS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-331-5459",
        "authorized_official_credential": "LCAT"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ulster Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.