Matthew Broad, LCAT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

001375 Issued in NY

Practice address

1 Mustard St Ste 240250
Rochester, NY 14609-6980

Phone

(585) 451-0028

Fax

(585) 654-1718

NPI assigned

Oct 9, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1912505249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S UNION ST",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591403",
            "telephone_number": "585-451-0028",
            "fax_number": "585-654-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MUSTARD ST STE 240250",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146096980",
            "telephone_number": "585-451-0028",
            "fax_number": "585-654-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROAD",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter C. Britton, PH.D.
• Tiffany M Britton, RN
• Vicky Lynn Britton, M.A. CCC-SLP
• Yanique Britton, CASAC
• Dawn Brizzi
• Sarah Broadbear, PA-C
• Sharonda Broadwater, LPN
• David Kimball Broadwell, M.D.
• Barbara Brobbey
• Brandi Brocious, PNP

• Art Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Art Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.