Active NPI
Courtney Puciata, ATR-BC, LCAT
- Art Therapist
- New York, NY
National Provider Identifier
1376788687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 001173
- Practice address
- 455 W 23Rd St
Suite 1a
New York, NY 10011-2148 - Phone
- (917) 597-3657
- NPI assigned
- Dec 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 001173 | NY | Primary |
Addresses
Primary practice location
455 W 23Rd St
Suite 1a
New York, NY 10011-2148
Mailing address
455 W 23Rd St
Suite 1a
New York, NY 10011-2148
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001173 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357430400000",
"number": "1376788687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 W 23RD ST",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100112148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 W 23RD ST",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100112148",
"telephone_number": "917-597-3657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCIATA",
"first_name": "COURTNEY",
"credential": "ATR-BC, LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2013-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "001173",
"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 Jan 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.