Individual provider Active NPI

Aubrey Palmer, LCAT

  • Art Therapist
  • Scotia, NY
National Provider Identifier
1386382646
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
001973 Issued in NY
Practice address
20 Holly Blvd
Scotia, NY 12302-3022
Phone
(518) 860-4619
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 221700000X 001973 NY Primary

Addresses

Primary practice location

20 Holly Blvd
Scotia, NY 12302-3022

Mailing address

20 Holly Blvd
Scotia, NY 12302-3022
Phone (518) 860-4619

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

LicenseStateTypeSpecialty
001973NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1386382646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOLLY BLVD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123023022",
            "telephone_number": "518-860-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOLLY BLVD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123023022",
            "telephone_number": "518-860-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "AUBREY",
        "name_prefix": "Ms.",
        "credential": "LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.