Jamie Lynn McCoppin, LCAT, RDT

Primary specialty

Drama TherapistTaxonomy code 101200000X

License

002850 Issued in NY

Practice address

225 Broadway Ste 2130
New York, NY 10007-3733

Phone

(414) 578-7665

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1396420097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4697 RIDGE BEND DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372073082",
            "telephone_number": "414-578-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 2130",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073733",
            "telephone_number": "414-578-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOPPIN",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "LCAT, RDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "",
            "desc": "Drama Therapist",
            "state": "NY",
            "license": "002850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn C. McConville, MD
• Justin Raymond McConville, ATC
• Thomas Howe McConville, M.D.
• Martha McCool
• Ethan McCooper, LCSW
• Mary McCord, MD
• Sarah E. McCord, PA-C
• Peter Niles McCorkell, M.D.
• David McCorkle, LCSW
• Jennifer McCormac, AGNP, CWON

• 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 Jun 20, 2023; 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.