Individual provider Active NPI

Gretchen S Sando, LCAT, ATR-BC

  • Art Therapist
  • Plattsburgh, NY
National Provider Identifier
1548340508
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
000805-1 Issued in NY
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
00805-1OtherNYNYS 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.

Verify at the official NPI Registry.