Active NPI
Diane K Wald, LCAT, ATR-BC
- Art Therapist
- Kingston, NY
National Provider Identifier
1689313629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 002719
- Practice address
- 101 Hurley Ave # 14
Kingston, NY 12401-2800 - Phone
- (845) 243-0619
- NPI assigned
- May 28, 2022
- 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 | 002719 | NY | Primary |
Addresses
Primary practice location
101 Hurley Ave # 14
Kingston, NY 12401-2800
Mailing address
741 2ND Ave
Kingston, NY 12401-8923
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 |
|---|---|---|---|
| 002719 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1689313629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 2ND AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124018923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HURLEY AVE # 14",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124012800",
"telephone_number": "845-243-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALD",
"first_name": "DIANE",
"middle_name": "K",
"credential": "LCAT, ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-28",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "002719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.