MR. MATTHEW BROAD


Address: 1 Mustard St Ste 240250, Rochester, NY 14609-6980
Phone: 5854510028

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 221700000X Art Therapist 001375 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers MATTHEW BROAD

NPI Name Taxonomy Address Enumeration
1558983593 Matthew Leon Broad Chiropractor 2548 Yellow Star St, Woodridge, IL 60517-1710 2020-05-13

Office Location

Street Address 1 MUSTARD ST STE 240250
City ROCHESTER
State NY
Zip Code 14609-6980

Providers in the same zip code

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 Information

Taxonomy Code 221700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Art Therapist

Taxonomy Definition

(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

Providers in the same taxonomy and city

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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City ROCHESTER
Zip Code 14609

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Dataset Information

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.

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