Individual provider Active NPI

Sasha Rebecca Pincus, LCAT-LP

  • Art Therapist
  • Babylon, NY
National Provider Identifier
1851089528
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
22-553 Issued in NY
Practice address
258 E Main St
Babylon, NY 11702-3512
Phone
(631) 629-2250
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 22-553 NY Primary

Addresses

Primary practice location

258 E Main St
Babylon, NY 11702-3512

Mailing address

23 Candee Ave
Sayville, NY 11782-3055
Phone (631) 629-2250

Other practice location 1

23 Candee Ave
Sayville, NY 11782-3055
Phone (631) 629-2250

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
22-553NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Counseling Services CurrentSince May 7, 2023 Accepting new patients

Locations

258 E Main St
Babylon, NY 11702
Phone (631) 629-2250

23 Candee Ave
Sayville, NY 11782
Phone (631) 629-2250

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1851089528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CANDEE AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823055",
            "telephone_number": "631-629-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023512",
            "telephone_number": "631-629-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Candee Ave",
            "address_purpose": "LOCATION",
            "city": "Sayville",
            "state": "NY",
            "postal_code": "117823055",
            "country_code": "US",
            "telephone_number": "631-629-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINCUS",
        "first_name": "SASHA",
        "middle_name": "REBECCA",
        "credential": "LCAT-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "22-553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.