Individual provider Active NPI

Lisa Clementi, MS, R-DMT, LCAT

  • Dance Therapist
  • New York, NY
National Provider Identifier
1447855697
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dance TherapistTaxonomy code 225600000X
Practice address
222 W 80TH St Apt 11B
New York, NY 10024-7075
Phone
(973) 219-0210
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X NY Primary

Addresses

Primary practice location

222 W 80TH St Apt 11B
New York, NY 10024-7075

Mailing address

222 W 80TH St Apt 11B
New York, NY 10024-7075
Phone (973) 219-0210

Other practice location 1

112 W 27th St Ste 402
New York, NY 10001-6241
Phone (973) 219-0210

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1447855697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W 80TH ST APT 11B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100247075",
            "telephone_number": "973-219-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 80TH ST APT 11B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100247075",
            "telephone_number": "973-219-0210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 W 27th St Ste 402",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016241",
            "country_code": "US",
            "telephone_number": "973-219-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTI",
        "first_name": "LISA",
        "credential": "MS, R-DMT, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "NY",
            "license": null,
            "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 Dec 3, 2020; 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.