Active NPI
Marine Morales, ATR
- Art Therapist
- New York, NY
National Provider Identifier
1982180238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- M263478ID
- Practice address
- 149 E 23Rd St # 1252
New York, NY 10010-3765 - Phone
- (702) 801-0441
- NPI assigned
- Jul 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | K028863 | NY | |
| Art Therapist | 221700000X | M263478ID | Primary |
Addresses
Primary practice location
149 E 23Rd St # 1252
New York, NY 10010-3765
Mailing address
149 E 23Rd St # 1252
New York, NY 10010-3765
Phone (201) 682-4788
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
| License | State | Type | Specialty |
|---|---|---|---|
| K028863 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628899200000",
"number": "1982180238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 E 23RD ST # 1252",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100103765",
"telephone_number": "201-682-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 E 23RD ST # 1252",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100103765",
"telephone_number": "702-801-0441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "MARINE",
"credential": "ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2021-08-14",
"certification_date": "2021-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Art Therapist",
"state": "NY",
"license": "K028863",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": "M263478ID",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.