Susanne Marie Bifano, MPS, MSED, LCAT-BC

Primary specialty

Art TherapistTaxonomy code 221700000X

License

00013 Issued in NY

Practice address

80 Saint Nicholas PL Apt 4C
New York, NY 10032-8061

Phone

(917) 445-5660

NPI assigned

Jan 22, 2020

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

State licenses

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1942830641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SAINT NICHOLAS PL APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100328061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SAINT NICHOLAS PL APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100328061",
            "telephone_number": "917-445-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIFANO",
        "first_name": "SUSANNE",
        "middle_name": "MARIE",
        "credential": "MPS, MSED, LCAT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "00013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Art Therapist in New York, NY
• Providers in New York, 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 Jan 22, 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.