Active NPI
Cecelia Louise Maalouf, LCAT, ATR-BC
- Art Therapist
- Fayetteville, NY
National Provider Identifier
1417683269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 002707
- Practice address
- 7000 E Genesee St
Fayetteville, NY 13066-1131 - Phone
- (315) 761-9506
- NPI assigned
- Jul 25, 2022
- 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 | 002707 | NY | Primary |
Addresses
Primary practice location
7000 E Genesee St
Fayetteville, NY 13066-1131
Mailing address
4930 Yeaworth LN
Manlius, NY 13104-1530
Phone (315) 761-9506
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 |
|---|---|---|---|
| 002707 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1417683269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 YEAWORTH LN",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131041530",
"telephone_number": "315-761-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661131",
"telephone_number": "315-761-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAALOUF",
"first_name": "CECELIA",
"middle_name": "LOUISE",
"credential": "LCAT, ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "002707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.