MR. MATTHEW BROAD (NPI# 1912505249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912505249 |
Entity Type | Individual |
Full Name | MR. MATTHEW BROAD |
Credential | LCAT |
Practice Address |
1 Mustard St Ste 240250 Rochester NY 14609-6980 |
Mailing Address |
227 S Union St Spencerport NY 14559-1403 |
Practice Telephone | 5854510028 |
Practice Fax Number | 5856541718 |
Mailing Telephone | 5854510028 |
Mailing Fax Number | 5856541718 |
Enumeration Date | 2020-10-09 |
Last Update Date | 2020-10-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 221700000X | Art Therapist | 001375 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558983593 | Matthew Leon Broad | Chiropractor | 2548 Yellow Star St, Woodridge, IL 60517-1710 | 2020-05-13 |
Street Address |
1 MUSTARD ST STE 240250 |
City | ROCHESTER |
State | NY |
Zip Code | 14609-6980 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154928828 | Aundrea Camille Williams | Licensed Practical Nurse | 99 Meaodw Circle, Rochester, NY 14609 | 2020-10-06 |
1043836869 | Sharon Ann Reilly | Registered Nurse | 910 North Goodman Street, Suite 1, Rochester, NY 14609 | 2020-06-17 |
1235655671 | Tameka Shaunte Parker | Licensed Practical Nurse | 35 Village Way, Rochester, NY 14609 | 2017-08-17 |
1851817472 | Mary Ann Dukes | Registered Nurse | 75 Yates Street, Rochester, NY 14609 | 2017-08-15 |
1023533064 | Fernando Caumont | Urology | 2615 Culver Rd Ste 100, Rochester, NY 14609 | 2017-08-10 |
1083061162 | Teyanee Latavia Harewood | Registered Nurse | 418 Hayward Ave, Rochester, NY 14609 | 2016-05-19 |
1164853891 | Sukhminder Kaur Sahansra | Internal Medicine | 335 North Park Drive, Elderone, Rochester, NY 14609 | 2013-12-05 |
1952749863 | Nada Jadrovska | Registered Nurse | 79 Eagle Rock Dr, Rochester, NY 14609 | 2013-06-13 |
1457602930 | Lynnetta Maria Hollomon | Licensed Practical Nurse | 827 Edgecreek Trail, Rochester, NY 14609 | 2012-09-25 |
1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
Find all providers in zip 14609 |
Taxonomy Code | 221700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Art Therapist |
(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487896502 | Shannon M Halligan | Art Therapist | 215 Alexander St, Suite 200, Rochester, NY 14607-4007 | 2009-04-03 |
1508320037 | Stephanie Biren | Art Therapist | 1320 University Ave, Rochester, NY 14607-1622 | 2019-01-29 |
1548761265 | Kayla M Jackson | Art Therapist | 46 Prince St, Rochester, NY 14607-1023 | 2018-02-27 |
1871000687 | Monica Anne Devine-haley | Art Therapist | 190 Reynolds St, Rochester, NY 14608-2540 | 2018-01-02 |
1508258443 | Spectrum Creative Arts LLC | Art Therapist | 3300 Monroe Ave, Rochester, NY 14618-4624 | 2015-03-02 |
1619397320 | Siera Weiss | Art Therapist | 45 Allens Creek Rd, Rochester, NY 14618-3227 | 2014-04-21 |
1639594518 | Lesley Randall | Art Therapist | 625 Panorama Trl, Building 1 Suite 230, Rochester, NY 14625-2404 | 2014-02-28 |
1265713119 | Jennifer Deroller | Art Therapist | 175 Humboldt St, Rochester, NY 14610-1059 | 2011-09-06 |
1356622468 | Emily R Krueger | Art Therapist | 175 Humboldt St, Rochester, NY 14610-1059 | 2011-09-01 |
1760585483 | Carrie Beth Webster | Art Therapist | 3399 Winton Rd S, Rochester, NY 14623-3057 | 2006-09-07 |
Find all providers in ROCHESTER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.