Individual provider Active NPI

Mary Katherine Pazdernik, LCAT

  • Art Therapist
  • Brooklyn, NY
National Provider Identifier
1538582689
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
001300-1 Issued in NY
Practice address
1 Hoyt St
7TH Floor
Brooklyn, NY 11201-5809
Phone
(718) 802-0666
Fax
(718) 858-9493
NPI assigned
Jan 27, 2014
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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 001300-1 NY Primary

Addresses

Primary practice location

1 Hoyt St
7TH Floor
Brooklyn, NY 11201-5809

Mailing address

382 Atlantic Ave
#2
Brooklyn, NY 11217-1703
Phone (917) 370-6792

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
001300-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1538582689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 ATLANTIC AVE",
            "address_2": "#2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171703",
            "telephone_number": "917-370-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOYT ST",
            "address_2": "7TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015809",
            "telephone_number": "718-802-0666",
            "fax_number": "718-858-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZDERNIK",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001300-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.