Individual provider Active NPI

Erica Wickett, LCAT, ATR-BC

  • Art Therapist
  • Brooklyn, NY
National Provider Identifier
1992376099
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
002430 Issued in NY
Practice address
462 6TH St Apt 3B
Brooklyn, NY 11215-3639
Phone
(214) 707-4547
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 002430 NY Primary

Addresses

Primary practice location

462 6TH St Apt 3B
Brooklyn, NY 11215-3639

Mailing address

462 6TH St Apt 3B
Brooklyn, NY 11215-3639
Phone (214) 707-4547

Other identifiers 1

IdentifierTypeStateIssuer
23334685OtherTXDRIVERS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Tablet Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1992376099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 6TH ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153639",
            "telephone_number": "214-707-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 6TH ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153639",
            "telephone_number": "214-707-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKETT",
        "first_name": "ERICA",
        "credential": "LCAT, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "23334685",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Tablet",
            "affiliation": "N",
            "endpointDescription": "Work device",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Messaging",
            "address_1": "462 6th St Apt 3B",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112153639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.