Individual provider Active NPI

Barbara Robertson, LCPAT, ATR-BC

  • Art Therapist
  • Annapolis, MD
National Provider Identifier
1467732925
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
ATC011 Issued in MD
Practice address
1203 West St Ste D
Annapolis, MD 21401-3662
Phone
(410) 353-5708
Fax
(443) 914-0554
NPI assigned
Aug 27, 2011
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X ATC011 MD Primary

Addresses

Primary practice location

1203 West St Ste D
Annapolis, MD 21401-3662

Mailing address

3091 Scottsborough Way
Riva, MD 21140-1420
Phone (410) 353-5708

Other identifiers 1

IdentifierTypeStateIssuer
ATC011OtherMDLCPAT - ART THERAPIST LICENSE

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
ATC011MDMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1467732925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 SCOTTSBOROUGH WAY",
            "city": "RIVA",
            "state": "MD",
            "postal_code": "211401420",
            "telephone_number": "410-353-5708",
            "fax_number": "443-914-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 WEST ST STE D",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013662",
            "telephone_number": "410-353-5708",
            "fax_number": "443-914-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "BARBARA",
        "credential": "LCPAT, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-27",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MD",
            "license": "ATC011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPAT - ART THERAPIST LICENSE",
            "identifier": "ATC011",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.