Individual provider Active NPI

Leticia Esther Rosado Russell, PH.D., ATR-BC

  • Art Therapist
  • Saint Helena, CA
National Provider Identifier
1740119627
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
24-104 Issued in CA
Practice address
1335 Main St Ste 107
Saint Helena, CA 94574-1940
Phone
(707) 320-8737
NPI assigned
May 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 24-104 CA Primary

Addresses

Primary practice location

1335 Main St Ste 107
Saint Helena, CA 94574-1940

Mailing address

184 White Cottage Rd N
Angwin, CA 94508-9611

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
24-104CAMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1778889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1740119627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 WHITE COTTAGE RD N",
            "city": "ANGWIN",
            "state": "CA",
            "postal_code": "945089611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 MAIN ST STE 107",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741940",
            "telephone_number": "707-320-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO RUSSELL",
        "first_name": "LETICIA",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "PH.D., ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-16",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "CA",
            "license": "24-104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.