Individual provider Active NPI

Patricia Anne Keating-McCutcheon, MA, ATR- BC, LCAT

  • Art Therapist
  • Flushing, NY
National Provider Identifier
1558570713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
000635 Issued in NY
Practice address
17154 Gladwin Ave
Flushing, NY 11365-1126
Phone
(718) 969-3863
NPI assigned
May 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 000635 NY Primary

Addresses

Primary practice location

17154 Gladwin Ave
Flushing, NY 11365-1126

Mailing address

17154 Gladwin Ave
Flushing, NY 11365-1126
Phone (718) 969-3863

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000635NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558570713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17154 GLADWIN AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651126",
            "telephone_number": "718-969-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17154 GLADWIN AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651126",
            "telephone_number": "718-969-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING-MCCUTCHEON",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MA, ATR- BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "000635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, 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.