Active NPI
Audrey Annaleigh Pfeifer
- Art Therapist
- West Islip, NY
National Provider Identifier
1326718008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 110860-01
- Practice address
- 325 Sunrise Hwy
West Islip, NY 11795-2110 - Phone
- (631) 594-9390
- NPI assigned
- Sep 15, 2021
- 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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | 110860-01 | NY | Primary |
Addresses
Primary practice location
325 Sunrise Hwy
West Islip, NY 11795-2110
Mailing address
101 Terrace Dr
East Northport, NY 11731-1230
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | TherapyNotes.com |
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 |
|---|---|---|---|
| 110860-01 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1326718008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 TERRACE DR",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117311230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 SUNRISE HWY",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117952110",
"telephone_number": "631-594-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFEIFER",
"first_name": "AUDREY",
"middle_name": "ANNALEIGH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "110860-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "TherapyNotes.com",
"affiliation": "N",
"endpointDescription": "Online EHR, practice management, and billing software designed for mental health professionals - HIPAA compliant",
"address_1": "325 Sunrise Hwy",
"city": "West Islip",
"state": "NY",
"country_code": "US",
"postal_code": "117952110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.