Active NPI
Sophia Marrero, LCAT
- Drama Therapist
- Montgomery, NY
National Provider Identifier
1497445985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- License
- 002340
- Practice address
- 1209 Ny-17K
Montgomery, NY 12549 - Phone
- (845) 706-0229
- NPI assigned
- May 9, 2023
- 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 |
|---|---|---|---|---|
| Drama Therapist | 101200000X | 002340 | NY | Primary |
Addresses
Primary practice location
1209 Ny-17K
Montgomery, NY 12549
Mailing address
22 Red Barn LN
Middletown, NY 10940-2602
Phone (845) 551-3541
Other practice location 1
22 Red Barn Ln
Middletown, NY 10940-2602
Phone (845) 551-3541
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1497445985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 RED BARN LN",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402602",
"telephone_number": "845-551-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 NY-17K",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "12549",
"telephone_number": "845-706-0229"
}
],
"practiceLocations": [
{
"address_1": "22 Red Barn Ln",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109402602",
"country_code": "US",
"telephone_number": "845-551-3541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARRERO",
"first_name": "SOPHIA",
"name_prefix": "Ms.",
"credential": "LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "NY",
"license": "002340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.