Individual provider Active NPI

Monica Marie Hofstadter

  • Art Therapist
  • Brooklyn, NY
National Provider Identifier
1295477016
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
66 Boerum PL
Brooklyn, NY 11201-5705
Phone
(718) 522-6011
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X Primary

Addresses

Primary practice location

66 Boerum PL
Brooklyn, NY 11201-5705

Mailing address

919 Park PL Apt 3H
Brooklyn, NY 11213-1811
Phone (812) 360-9494

Other practice location 1

Green Chimneys
400 Doansburg Road
Brewster, NY 10509
Phone (845) 279-2995 ext. 306

Other identifiers 1

IdentifierTypeStateIssuer
33MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address auliss@greenchimneys.org

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

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1295477016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 PARK PL APT 3H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131811",
            "telephone_number": "812-360-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOERUM PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015705",
            "telephone_number": "718-522-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Green Chimneys",
            "address_2": "400 Doansburg Road",
            "address_purpose": "LOCATION",
            "city": "Brewster",
            "state": "NY",
            "postal_code": "10509",
            "country_code": "US",
            "telephone_number": "845-279-2995 x306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFSTADTER",
        "first_name": "MONICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "auliss@greenchimneys.org",
            "affiliation": "N",
            "address_1": "Green Chimneys",
            "address_2": "400 Doansburg Road",
            "city": "Brewster",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.