Active NPI
Kimberly Bush, MFA, ATR-BC, LCAT
- Art Therapist
- Brooklyn, NY
National Provider Identifier
1376720680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 0697
- Practice address
- 16 Cambridge PL
Brooklyn, NY 11238-1908 - Phone
- (917) 406-9955
- NPI assigned
- Jan 29, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | |||
| Art Therapist | 221700000X | 0697 | NY | Primary |
Addresses
Primary practice location
16 Cambridge PL
Brooklyn, NY 11238-1908
Mailing address
16 Cambridge PL
Brooklyn, NY 11238-1908
Phone (917) 406-9955
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 Fine Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0697 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1376720680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CAMBRIDGE PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112381908",
"telephone_number": "917-406-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CAMBRIDGE PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112381908",
"telephone_number": "917-406-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "MFA, ATR-BC, LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "0697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.