Individual provider Active NPI

Kara A. Mycek, LCAT, BC-DMT

  • Dance Therapist
  • Brooklyn, NY
National Provider Identifier
1548522865
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dance TherapistTaxonomy code 225600000X
License
001732-1 Issued in NY
Practice address
941 Ocean Ave Ofc
Brooklyn, NY 11226-6715
Phone
(914) 338-8449
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X 001732-1 NY Primary

Addresses

Primary practice location

941 Ocean Ave Ofc
Brooklyn, NY 11226-6715

Mailing address

941 Ocean Ave Ofc
Brooklyn, NY 11226-6715
Phone (914) 338-8449

Other practice location 1

348 13th St
Suite 203
Brooklyn, NY 11215-6177
Phone (718) 788-5101

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
001732-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Park Slope Center for Mental Health, Inc PastSince Oct 11, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1548522865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 OCEAN AVE OFC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266715",
            "telephone_number": "914-338-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 OCEAN AVE OFC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266715",
            "telephone_number": "914-338-8449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 13th St",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112156177",
            "country_code": "US",
            "telephone_number": "718-788-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYCEK",
        "first_name": "KARA",
        "middle_name": "A.",
        "credential": "LCAT, BC-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "NY",
            "license": "001732-1",
            "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 Sep 11, 2018; 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.