Active NPI
Dawn Helene Kristiansen-Rubin, L.C.A.T.
- Art Therapist
- Pleasant Valley, NY
National Provider Identifier
1629294293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000925
- Practice address
- 64 Barkit Kennel Rd
Pleasant Valley, NY 12569-7210 - Phone
- (845) 635-3137
- NPI assigned
- Apr 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 000925 | NY | Primary |
Addresses
Primary practice location
64 Barkit Kennel Rd
Pleasant Valley, NY 12569-7210
Mailing address
64 Barkit Kennel Rd
Pleasant Valley, NY 12569-7210
Phone (845) 635-3137
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000925 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629294293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 BARKIT KENNEL RD",
"city": "PLEASANT VALLEY",
"state": "NY",
"postal_code": "125697210",
"telephone_number": "845-635-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 BARKIT KENNEL RD",
"city": "PLEASANT VALLEY",
"state": "NY",
"postal_code": "125697210",
"telephone_number": "845-635-3137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISTIANSEN-RUBIN",
"first_name": "DAWN",
"middle_name": "HELENE",
"name_prefix": "Prof.",
"credential": "L.C.A.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Valley, 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.