Individual provider Active NPI

Megan Fradley-Smith, MS, ATR-P

  • Art Therapist
  • Oakland, CA
National Provider Identifier
1366173635
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
55 Santa Clara Ave Ste 220
Oakland, CA 94610-1375
Phone
(510) 675-7070
NPI assigned
Jun 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

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 Primary

Addresses

Primary practice location

55 Santa Clara Ave Ste 220
Oakland, CA 94610-1375

Mailing address

475 Skyline Dr
Vallejo, CA 94591-3621
Phone (850) 566-6506

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tonia@eastbayarttherapy.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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Art Therapy Art Therapist CurrentSince Jun 26, 2022 Accepting new patients

Locations

55 Santa Clara Ave
Ste 220
Oakland, CA 94610
Phone (510) 373-9932

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1366173635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SKYLINE DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913621",
            "telephone_number": "850-566-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE STE 220",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101375",
            "telephone_number": "510-675-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRADLEY-SMITH",
        "first_name": "MEGAN",
        "credential": "MS, ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tonia@eastbayarttherapy.com",
            "affiliation": "N",
            "address_1": "55 Santa Clara Ave Ste 220",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946101375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.