Active NPI
Gretchen S Sando, LCAT, ATR-BC
- Art Therapist
- Plattsburgh, NY
National Provider Identifier
1548340508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000805-1
- Practice address
- 63 Broad St
Plattsburgh, NY 12901-3315 - Phone
- (518) 563-8000
- Fax
- (518) 563-9001
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 000805-1 | NY | Primary |
Addresses
Primary practice location
63 Broad St
Plattsburgh, NY 12901-3315
Mailing address
112 Quaker Highlands Rd
Peru, NY 12972-5179
Phone (518) 643-6626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00805-1 | Other | NY | NYS EDUC DEPT REGISTRATIO |
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": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548340508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 QUAKER HIGHLANDS RD",
"city": "PERU",
"state": "NY",
"postal_code": "129725179",
"telephone_number": "518-643-6626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 BROAD ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129013315",
"telephone_number": "518-563-8000",
"fax_number": "518-563-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDO",
"first_name": "GRETCHEN",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LCAT, ATR-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000805-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS EDUC DEPT REGISTRATIO",
"identifier": "00805-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.