Individual provider Active NPI

Rachel Brandoff, PH.D., ATR-BCCS,LCAT

  • Art Therapist
  • New York, NY
National Provider Identifier
1629000278
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
000828 Issued in NY
Practice address
19 W 34TH St Ste 1200
New York, NY 10001-3006
Phone
(212) 518-7077
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 000828 NY Primary
Counselor 101Y00000X 05 000828 NY
Art Therapist 221700000X NY
Medical Art Specialist/Technologist 246ZA2600X 05 000828 NY

Addresses

Primary practice location

19 W 34TH St Ste 1200
New York, NY 10001-3006

Mailing address

4623 Cedar Ave
Philadelphia, PA 19143-2117
Phone (212) 518-7077

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
05 000828NYMDCounselor
000828NYMDArt Therapist
05 000828NYMDMedical Art Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1629000278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 CEDAR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432117",
            "telephone_number": "212-518-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST STE 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "212-518-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDOFF",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PH.D., ATR-BCCS,LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "000828",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "05 000828",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "NY",
            "license": "05  000828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.