Jennifer Signet Yovino, LCAT, ATR-BC

Primary specialty

Art TherapistTaxonomy code 221700000X

License

002289 Issued in NY

Practice address

3 Long Meadow PL
South Setauket, NY 11720-1252

Phone

(516) 554-0547

NPI assigned

Jan 3, 2019

Sex

Female

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

Practice roles

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.

• Mental Health Providers of Western Queens

  • Community/Behavioral Health Agency
  • Jackson Heights, NY
  • NPI 1104200294
  NPD (past)

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1922571892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LONG MEADOW PL",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201252",
            "telephone_number": "516-554-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LONG MEADOW PL",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201252",
            "telephone_number": "516-554-0547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Newtown Ave Apt 6A",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111022460",
            "country_code": "US",
            "telephone_number": "516-554-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOVINO",
        "first_name": "JENNIFER",
        "middle_name": "SIGNET",
        "credential": "LCAT, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2021-09-30",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Wilbur-Harris, LCSW
• Aviv Winer, LCSW
• Emily Wong, MFT-LP
• Bin Xu, M.D, LAC,PH.D
• Brittany Leigh Yannucci, MS, LMHC
• Adil Hasan Zaidi, MD

• Art Therapist in South Setauket, NY
• Providers in South Setauket, 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 Sep 30, 2021; 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.