Active NPI
Gina T Trezza, MA, ATR, CASAC, CAT
- Art Therapist
- Northport, NY
National Provider Identifier
1750396776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000832-1
- Practice address
- 79 Middleville Rd
Department of Veterans Affairs Medical Center
Northport, NY 11768-2290 - Phone
- (631) 261-4400
- Fax
- (631) 266-6099
- NPI assigned
- Jul 29, 2006
- 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 | 000832-1 | NY | Primary |
Addresses
Primary practice location
79 Middleville Rd
Department of Veterans Affairs Medical Center
Northport, NY 11768-2290
Mailing address
79 Middleville Rd BLDG 6
Northport, NY 11768-2200
Phone (631) 261-4400
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000832-1 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1750396776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 MIDDLEVILLE RD BLDG 6",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682200",
"telephone_number": "631-261-4400",
"fax_number": "631-266-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 MIDDLEVILLE RD",
"address_2": "DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682290",
"telephone_number": "631-261-4400",
"fax_number": "631-266-6099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREZZA",
"first_name": "GINA",
"middle_name": "T",
"credential": "MA, ATR, CASAC, CAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000832-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.