Individual provider Active NPI

Gabrielle E Grimaldi, MA, ATR-BC, LCAT

  • Art Therapist
  • Pelham, NY
National Provider Identifier
1992942239
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
001208-1 Issued in NY
Practice address
904 Edgewood Ave
Pelham, NY 10803-2902
Phone
(914) 738-7025
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
Yes

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001208-1NYMDArt Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 001208-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

904 Edgewood Ave
Pelham, NY 10803-2902

Mailing address

904 Edgewood Ave
Pelham, NY 10803-2902
Phone (914) 738-7025

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2009.

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1992942239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 EDGEWOOD AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108032902",
            "telephone_number": "914-738-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 EDGEWOOD AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108032902",
            "telephone_number": "914-738-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "GABRIELLE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MA, ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001208-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.