Active NPI
Wenonah McLauchlin, MA-ATR-BC, LCAT
- Art Therapist
- Albany, NY
National Provider Identifier
1649370578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000912-1
- Practice address
- 257 Church Rd
Albany, NY 12203-6103 - Phone
- (518) 456-7950
- NPI assigned
- Sep 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 000912-1 | NY | Primary |
Addresses
Primary practice location
257 Church Rd
Albany, NY 12203-6103
Mailing address
257 Church Rd
Albany, NY 12203-6103
Phone (518) 456-7950
Other names 1
- Wenonah Tantillo
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 |
|---|---|---|---|
| 000912-1 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649370578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 CHURCH RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122036103",
"telephone_number": "518-456-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 CHURCH RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122036103",
"telephone_number": "518-456-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUCHLIN",
"first_name": "WENONAH",
"credential": "MA-ATR-BC, LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000912-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENONAH",
"last_name": "TANTILLO",
"credential": "MA-ATR-BC, LCAT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Albany, 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.