Individual provider Active NPI

Karen Tabin

  • Art Therapist
  • Island Park, NY
National Provider Identifier
1942870746
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
P14890 Issued in NY
Practice address
77 Waterford Rd
Island Park, NY 11558-1030
Phone
(516) 749-6301
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 221700000X P14890 NY Primary

Addresses

Primary practice location

77 Waterford Rd
Island Park, NY 11558-1030

Mailing address

77 Waterford Rd
Island Park, NY 11558-1030
Phone (516) 749-6301

Other practice location 1

720 Beach 20th St
Far Rockaway, NY 11691-3502
Phone (718) 327-7002

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
P14890NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc Single Specialty PastSince Jan 1, 2013 Accepting new patients

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1942870746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WATERFORD RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581030",
            "telephone_number": "516-749-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WATERFORD RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581030",
            "telephone_number": "516-749-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Beach 20th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116913502",
            "country_code": "US",
            "telephone_number": "718-327-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABIN",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "P14890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Island Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.