Active NPI
Erin Viola Jacobsen, MA, ATR-BC, LCAT
- Art Therapist
- Scarsdale, NY
National Provider Identifier
1306017272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 001296-01
- Practice address
- 121 Montgomery Ave Ste a
Scarsdale, NY 10583-5568 - Phone
- (914) 338-8358
- NPI assigned
- Mar 18, 2008
- 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 |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | |||
| Art Therapist | 221700000X | 001296-01 | NY | Primary |
Addresses
Primary practice location
121 Montgomery Ave Ste a
Scarsdale, NY 10583-5568
Mailing address
155 E Hartsdale Ave Apt 2a
Hartsdale, NY 10530-3315
Phone (610) 368-1354
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001296-01 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1306017272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 E HARTSDALE AVE APT 2A",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105303315",
"telephone_number": "610-368-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MONTGOMERY AVE STE A",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835568",
"telephone_number": "914-338-8358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSEN",
"first_name": "ERIN",
"middle_name": "VIOLA",
"name_prefix": "Mrs.",
"credential": "MA, ATR-BC, LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "001296-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.