Individual provider Active NPI

Linda Maniscalco

  • Art Therapist
  • Riviera Beach, FL
National Provider Identifier
1619367075
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
3600 N Ocean Dr Apt 226
Riviera Beach, FL 33404-3258
Phone
(561) 797-0303
NPI assigned
Jan 23, 2015
Last updated
Oct 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Art Therapist 221700000X NU Primary

Addresses

Primary practice location

3600 N Ocean Dr Apt 226
Riviera Beach, FL 33404-3258

Mailing address

3600 N Ocean Dr Apt 226
Riviera Beach, FL 33404-3258
Phone (561) 797-0303

Other practice location 1

3600 Route 112
Coram, NY 11727-4116
Phone (631) 920-8500

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": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1619367075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N OCEAN DR APT 226",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334043258",
            "telephone_number": "561-797-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N OCEAN DR APT 226",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334043258",
            "telephone_number": "561-797-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Route 112",
            "address_purpose": "LOCATION",
            "city": "Coram",
            "state": "NY",
            "postal_code": "117274116",
            "country_code": "US",
            "telephone_number": "631-920-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANISCALCO",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.