Rooted Expressions Creative Arts Therapy Services PLLC

Primary specialty

Art TherapistTaxonomy code 221700000X

Legal business name

ROOTED EXPRESSIONS CREATIVE ARTS THERAPY SERVICES PLLC

Practice address

19 Tennyson PL
Greenlawn, NY 11740-2701

Phone

(631) 965-9434

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Katelyn Rose Halleran, LCAT, ATR-BCNPI 1558034967

Title

Owner

Phone

(631) 965-9434

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katelyn Rose Halleran

  • Art Therapist
  • West Babylon, NY
  • NPI 1558034967
  NPD Authorized official

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1932944774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TENNYSON PL",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402701",
            "telephone_number": "631-965-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 TENNYSON PL",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402701",
            "telephone_number": "631-965-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED EXPRESSIONS CREATIVE ARTS THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "HALLERAN",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-965-9434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCAT, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Riebl, MA
• Maria Rivera
• Marvi Rizwan, MD
• Lisa Rolon, MD
• Ronald N. Cohn, MD PC
• Michael G. Rosati, P.T.
• Thomas M Rosselli Sr., RPH
• Eric J Rothstein, DPM
• Elham Safaie, M.D.,
• Mona Sanchez

• Art Therapist in Greenlawn, NY
• Providers in Greenlawn, 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 Jun 25, 2024; 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.