Active NPI
Jordyn Staar, MA
- Art Therapist
- Philadelphia, PA
National Provider Identifier
1639706898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 4200 Monument Rd
Philadelphia, PA 19131-1625 - Phone
- (845) 664-4933
- NPI assigned
- Mar 26, 2020
- Last updated
- Mar 26, 2020
- 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 | NU | Primary |
Addresses
Primary practice location
4200 Monument Rd
Philadelphia, PA 19131-1625
Mailing address
1414 Dickinson St Apt 3
Philadelphia, PA 19146-4817
Phone (845) 664-4933
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jordyn.staar@belmontbehavioral.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 6, 2025 through Feb 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1639706898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 DICKINSON ST APT 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191464817",
"telephone_number": "845-664-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 MONUMENT RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311625",
"telephone_number": "845-664-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAAR",
"first_name": "JORDYN",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jordyn.staar@belmontbehavioral.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4200 Monument Rd",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191311625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
- St. Vincent's Tacony
- St.Chris Care at Northeast Pediatrics, LLC
- St.Chris Care at Northeast Pediatrics, LLC (St. Chris Care at Falls Center)
- Joseph St.Geme, M.D.
- Dana Isobel A Sta Ana, PHARMD
- Hans Friedrich Stabenau, M.D., PH.D.
- Richard J Stabile, MD
- Krista Moore Stacey, MD
- Trevor Stacey, ATC
- Anthony Christopher Stack, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.