Individual provider Active NPI

Jillian Grzybowski, LCAT, ATR-BC

  • Art Therapist
  • New York, NY
National Provider Identifier
1326824590
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
002858-01 Issued in NY
Practice address
316 E 88TH St
New York, NY 10128-4909
Phone
(646) 559-6674
Fax
(646) 365-0585
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 002858-01 NY Primary

Addresses

Primary practice location

316 E 88TH St
New York, NY 10128-4909

Mailing address

316 E 88TH St
New York, NY 10128-4909
Phone (646) 559-6674

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

LicenseStateTypeSpecialty
002858-01NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1326824590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E 88TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284909",
            "telephone_number": "646-559-6674",
            "fax_number": "646-365-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E 88TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284909",
            "telephone_number": "646-559-6674",
            "fax_number": "646-365-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZYBOWSKI",
        "first_name": "JILLIAN",
        "name_prefix": "Ms.",
        "credential": "LCAT, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002858-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.