Active NPI
Chris F. Randolph, LCAT
- Art Therapist
- Nyack, NY
National Provider Identifier
1477793974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 001187
- Practice address
- 137 First Avenue
Nyack, NY 10960 - Phone
- (845) 893-6674
- NPI assigned
- Feb 24, 2009
- 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 | 001187 | NY | Primary |
Addresses
Primary practice location
137 First Avenue
Nyack, NY 10960
Mailing address
1581 Route 202 #327
Pomona, NY 10970
Phone (845) 893-6674
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 |
|---|---|---|---|
| 001187 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1477793974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1581 ROUTE 202 #327",
"city": "POMONA",
"state": "NY",
"postal_code": "10970",
"telephone_number": "845-893-6674",
"fax_number": "801-340-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 FIRST AVENUE",
"city": "NYACK",
"state": "NY",
"postal_code": "10960",
"telephone_number": "845-893-6674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "CHRIS",
"middle_name": "F.",
"name_prefix": "Ms.",
"credential": "LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "001187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.