Active NPI
Carlie Sebastiano
- Occupational Therapist
- Staten Island, NY
National Provider Identifier
1780181651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022412
- Practice address
- 1173 Forest Ave
Staten Island, NY 10310-2408 - Phone
- (567) 871-8979
- NPI assigned
- Apr 9, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 022412 | NY | Primary |
Addresses
Primary practice location
1173 Forest Ave
Staten Island, NY 10310-2408
Mailing address
10 Wards Point Ave
Staten Island, NY 10307-1536
Phone (718) 702-7851
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 |
|---|---|---|---|
| 022412 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1780181651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WARDS POINT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103071536",
"telephone_number": "718-702-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1173 FOREST AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103102408",
"telephone_number": "567-871-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBASTIANO",
"first_name": "CARLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.