Lisa Mirabile, LCAT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

002445-01 Issued in NY

Practice address

15 Maiden LN Ste 1405
New York, NY 10038-5113

Phone

(347) 927-6896

NPI assigned

Aug 19, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Patient Palette, Creative Arts Therapy, PLLC

  • Art Therapist
  • New York, NY
  • NPI 1063003622
  NPD Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1497367783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAIDEN LN STE 1405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385113",
            "telephone_number": "347-927-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAIDEN LN STE 1405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385113",
            "telephone_number": "347-927-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABILE",
        "first_name": "LISA",
        "credential": "LCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002445-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Mirabal, CASAC-T
• Kimia Mirabbaszadeh, FNP-BC, DNP
• Richard J Mirabel
• Elizabeth Mirabello, M.D.
• Meredith Anne Mirabile-Bizzak
• Diane Margaret Mirabito, DSW, LCSW
• Elizabeth Ashley Miracle, RD
• Claire Miraglia, WHNP
• Hasan Miraj, M.D.
• Isabel A Miralda, RN

• Art Therapist in New York, NY
• Providers in New York, NY by specialty
• Art Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.