Integrative Creative Arts Therapy, PLLC

Primary specialty

Art TherapistTaxonomy code 221700000X

Legal business name

INTEGRATIVE CREATIVE ARTS THERAPY, PLLC

Practice address

109 Browns Rd
Huntington, NY 11743-1852

Phone

(631) 759-8278

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Mor Keshet, MPSNPI 1144789769

Title

Founder and Owner

Phone

(631) 278-6528

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mor Keshet, MPS, LCAT

  • Art Therapist
  • Huntington, NY
  • NPI 1144789769
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1558110320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BROWNS RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BROWNS RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431852",
            "telephone_number": "631-759-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CREATIVE ARTS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "KESHET",
        "authorized_official_first_name": "MOR",
        "authorized_official_title_or_position": "FOUNDER AND OWNER",
        "authorized_official_telephone_number": "631-278-6528",
        "authorized_official_credential": "MPS"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Art Therapist in Huntington, NY
• Providers in Huntington, 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 May 15, 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.