Active NPI
Hiroko Tsukada
- Art Therapist
- Pearl River, NY
National Provider Identifier
1265171565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 001784-01
- Practice address
- 275 N Middletown Rd Ste 1D
Pearl River, NY 10965-1189 - Phone
- (347) 860-5611
- NPI assigned
- Jun 3, 2022
- Last updated
- Jun 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 06-041 | NC | |
| Art Therapist | 221700000X | 001784-01 | NY | Primary |
Addresses
Primary practice location
275 N Middletown Rd Ste 1D
Pearl River, NY 10965-1189
Mailing address
639 Oak Tree Rd
Palisades, NY 10964-1535
Phone (347) 860-5611
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06-041 | NC | MD | Art Therapist |
| 001784-01 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1265171565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 OAK TREE RD",
"city": "PALISADES",
"state": "NY",
"postal_code": "109641535",
"telephone_number": "347-860-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N MIDDLETOWN RD STE 1D",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651189",
"telephone_number": "347-860-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSUKADA",
"first_name": "HIROKO",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-03",
"last_updated": "2022-06-03",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NC",
"license": "06-041",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "001784-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.