NPIMap

Organization Active NPI

Spotted Rabbit Creative Arts Therapy, PLLC

  • Art Therapist
  • Rochester, NY
National Provider Identifier
1336791482
Registry record updated Dec 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Legal business name
SPOTTED RABBIT CREATIVE ARTS THERAPY, PLLC
Practice address
2376 Monroe Ave
Rochester, NY 14618-3032
Phone
(585) 430-9877
Fax
(585) 486-5772
NPI assigned
Jul 9, 2019
Last updated
Dec 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2020

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

Authorized official

Name
Sarah Beren, LCATNPI 1427437490
Title
Director
Phone
(585) 430-9877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Art Therapist 221700000X Primary

Addresses

Primary practice location

2376 Monroe Ave
Rochester, NY 14618-3032

Mailing address

2376 Monroe Ave
Rochester, NY 14618-3032
Phone (585) 430-9877

National Provider Directory

National Provider Directory

Locations

2376 Monroe Ave
Rochester, NY 14618
Phone (585) 430-9877

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609027200000",
    "number": "1336791482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183032",
            "telephone_number": "585-430-9877",
            "fax_number": "585-200-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183032",
            "telephone_number": "585-430-9877",
            "fax_number": "585-486-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOTTED RABBIT CREATIVE ARTS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A",
        "authorized_official_last_name": "BEREN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "585-430-9877",
        "authorized_official_credential": "LCAT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; 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.