Active NPI
Charisse Ann Brown, LCAT
- Drama Therapist
- Ardsley, NY
National Provider Identifier
1285444133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- License
- 002034-01
- Practice address
- 692 Saw Mill River Rd
Ardsley, NY 10502-1810 - Phone
- (914) 552-1335
- NPI assigned
- Jan 13, 2025
- Last updated
- Jan 13, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Drama Therapist | 101200000X | 002034-01 | NY | Primary |
Addresses
Primary practice location
692 Saw Mill River Rd
Ardsley, NY 10502-1810
Mailing address
30 N Broadway Apt 5L
White Plains, NY 10601-2119
Phone (914) 552-1335
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 |
|---|---|---|---|
| 002034-01 | NY | MD | Drama Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1285444133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N BROADWAY APT 5L",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106012119",
"telephone_number": "914-552-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "692 SAW MILL RIVER RD",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021810",
"telephone_number": "914-552-1335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CHARISSE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "NY",
"license": "002034-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardsley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.