Active NPI
Rachel Brandoff, PH.D., ATR-BCCS,LCAT
- Art Therapist
- New York, NY
National Provider Identifier
1629000278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000828
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 05 000828 | NY | MD | Counselor |
| 000828 | NY | MD | Art Therapist |
| 05 000828 | NY | MD | Medical 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.