Individual provider Active NPI

Amara Clark, LCAT, ATR-BC

  • Art Therapist
  • Brooklyn, NY
National Provider Identifier
1740539691
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
001728 Issued in NY
Practice address
163 Lorimer St BSMT
Brooklyn, NY 11206-2907
Phone
(917) 765-5548
Fax
(917) 924-5772
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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 001728 NY Primary

Addresses

Primary practice location

163 Lorimer St BSMT
Brooklyn, NY 11206-2907

Mailing address

163 Lorimer St BSMT
Brooklyn, NY 11206-2907
Phone (917) 765-5548

Other practice location 1

260 Madison Ave Fl 8
New York, NY 10016-2418
Phone (917) 765-5548

Other practice location 2

5050 Iselin Ave
Bronx, NY 10471-2915
Phone (718) 549-6700

Other practice location 3

240 Madison Ave Ste 10L
New York, NY 10016-2820
Phone (917) 765-5548

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

LicenseStateTypeSpecialty
001728NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1740539691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 LORIMER ST BSMT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112062907",
            "telephone_number": "917-765-5548",
            "fax_number": "917-924-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 LORIMER ST BSMT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112062907",
            "telephone_number": "917-765-5548",
            "fax_number": "917-924-5772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Madison Ave Fl 8",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100162418",
            "country_code": "US",
            "telephone_number": "917-765-5548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Iselin Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104712915",
            "country_code": "US",
            "telephone_number": "718-549-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Madison Ave Ste 10L",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100162820",
            "country_code": "US",
            "telephone_number": "917-765-5548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AMARA",
        "name_prefix": "Ms.",
        "credential": "LCAT, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2022-07-24",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.