Alexandra Kavanaugh, LCAT

Primary specialty

Drama TherapistTaxonomy code 101200000X

License

002522 Issued in NY

Practice address

41 Union SQ W Ste 1328
New York, NY 10003-3252

Phone

(347) 670-3774

NPI assigned

Sep 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1346768579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 79TH ST APT 4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751481",
            "telephone_number": "917-763-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 UNION SQ W STE 1328",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033252",
            "telephone_number": "347-670-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "ALEXANDRA",
        "credential": "LCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101200000X",
            "taxonomy_group": "",
            "desc": "Drama Therapist",
            "state": "NY",
            "license": "002522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kendra Kavanagh, PHARMD, BCACP
• Susan H Kavanagh, M.S. CCC/A
• Taylor R Kavanagh, MD
• Margaret Geraldine Kavanau, PHD
• Alanna Elizabeth Kavanaugh, NP
• Joan Lei Kavanaugh, D.MIN.
• John Kavanaugh, L.C.S.W.
• Kathryn Kavanaugh, PH.D.
• Kelly Lynn Kavcsak, FNP
• Brian Kaveh, CASAC-T

• Drama Therapist in New York, NY
• Providers in New York, NY by specialty
• Drama Therapist in New York

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

Verify at the official NPI Registry.