Active NPI
Sean Reckwerdt, LCAT
- Art Therapist
- Brooklyn, NY
National Provider Identifier
1639819584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 002509
- Practice address
- 767 Bergen St PH 4a
Brooklyn, NY 11238-4491 - Phone
- (608) 772-1227
- NPI assigned
- Mar 30, 2022
- Sex
- Male
- 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 | 002509 | NY | Primary |
Addresses
Primary practice location
767 Bergen St PH 4a
Brooklyn, NY 11238-4491
Mailing address
767 Bergen St PH 4a
Brooklyn, NY 11238-4491
Phone (608) 772-1227
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 |
|---|---|---|---|
| 002509 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1639819584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 BERGEN ST PH 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112384491",
"telephone_number": "608-772-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 BERGEN ST PH 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112384491",
"telephone_number": "608-772-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECKWERDT",
"first_name": "SEAN",
"credential": "LCAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-30",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "002509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.