Individual provider Active NPI

Sabrina Jade Rodriguez

  • Art Therapist
  • New York, NY
National Provider Identifier
1770475576
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
05-P112177-02 Issued in NY
Practice address
150 W 28TH St Ste 1402
New York, NY 10001-6103
Phone
(904) 501-3221
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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 05-P112177-02 NY Primary

Addresses

Primary practice location

150 W 28TH St Ste 1402
New York, NY 10001-6103

Mailing address

125 Bergen St Apt 1a
Brooklyn, NY 11201-8618
Phone (786) 247-9707

Other practice location 1

150 W 28th St Ste 1402
New York, NY 10001-6103
Phone (904) 501-3221

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
05-P112177-02NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Arts Therapy Nyc Art Therapist CurrentSince Nov 18, 2025 Accepting new patients

Locations

150 W 28th St
Ste 1402
New York, NY 10001
Phone (904) 501-3221

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": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1770475576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BERGEN ST APT 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112018618",
            "telephone_number": "786-247-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 28TH ST STE 1402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016103",
            "telephone_number": "904-501-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W 28th St Ste 1402",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016103",
            "country_code": "US",
            "telephone_number": "904-501-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SABRINA",
        "middle_name": "JADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "05-P112177-02",
            "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 Jul 16, 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.

Verify at the official NPI Registry.