Active NPI
Diane Rode, MPS, CCLS, LCAT
- Art Therapist
- New York, NY
National Provider Identifier
1689908733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000048-1
- Practice address
- 1184 5TH Ave
Room 350
New York, NY 10029-6503 - Phone
- (212) 241-8024
- Fax
- (212) 427-3049
- NPI assigned
- Sep 22, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 000048-1 | NY | Primary |
Addresses
Primary practice location
1184 5TH Ave
Room 350
New York, NY 10029-6503
Mailing address
1 Gustave L Levy PL
Box 1153
New York, NY 10029-6574
Phone (212) 241-8024
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 |
|---|---|---|---|
| 000048-1 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1689908733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "BOX 1153",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574",
"telephone_number": "212-241-8024",
"fax_number": "212-427-3049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1184 5TH AVE",
"address_2": "ROOM 350",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296503",
"telephone_number": "212-241-8024",
"fax_number": "212-427-3049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODE",
"first_name": "DIANE",
"credential": "MPS, CCLS, LCAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000048-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.