Organization Active NPI

Movement for the Mind Creative Arts Therapy PLLC

  • Dance Therapist
  • Astoria, NY
National Provider Identifier
1659043206
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dance TherapistTaxonomy code 225600000X
Legal business name
MOVEMENT FOR THE MIND CREATIVE ARTS THERAPY PLLC
Practice address
2638 21St St Apt 14a
Astoria, NY 11102-4204
Phone
(607) 425-3848
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashley M. Unadkat, MA, LCAT, LMHC
Title
Owner
Phone
(607) 425-3848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Dance TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225600000X Primary

Addresses

Primary practice location

2638 21St St Apt 14a
Astoria, NY 11102-4204

Mailing address

2638 21St St Apt 14a
Astoria, NY 11102-4204
Phone (607) 425-3848

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1659043206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 21ST ST APT 14A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024204",
            "telephone_number": "607-425-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 21ST ST APT 14A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024204",
            "telephone_number": "607-425-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT FOR THE MIND CREATIVE ARTS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "UNADKAT",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-425-3848",
        "authorized_official_credential": "MA, LCAT, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.