Katelyn Rose Halleran

Primary specialty

Art TherapistTaxonomy code 221700000X

License

002497 Issued in NY

Practice address

1527 5TH St
West Babylon, NY 11704-4541

Phone

(631) 867-2501

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rooted Expressions Creative Arts Therapy Services PLLC

  • Art Therapist
  • Greenlawn, NY
  • NPI 1932944774
  NPD Authorized official
• Start: Creative Arts Therapy Services, PLLC

  • Art Therapist
  • West Babylon, NY
  • NPI 1528635661
  NPD

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1558034967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 5TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117044541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 5TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117044541",
            "telephone_number": "631-867-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLERAN",
        "first_name": "KATELYN",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Gundy, LPN
• John Guzzardi
• Jamie Lee Haase, M.S.ED
• Kara Hackett
• Christine Deluca Hagerty, PA
• Hansen Chiropractic P C
• Christopher Hansen, D.C.
• Nancy C Harbord-Ansman
• Jaylen Hardy, LMSW
• Meghan Caitlin Harvey, FNP-BC

• Art Therapist in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Art Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.