SHANNON POPLIN BRADLEY (NPI# 1770908568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770908568 |
| Entity Type | Individual |
| Full Name | SHANNON POPLIN BRADLEY |
| Credential | LCAT, ATR-BC |
| Practice Address |
373 Broadway Ste. B05 New York NY 10013-3926 |
| Practice Telephone | 9173310566 |
| Mailing Telephone | 9173310566 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | 001636 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699336255 | Shannon Bradley | Social Worker | 160 Bethlehem Pike Ste 120, Colmar, PA 18915-9790 | 2019-06-25 |
| 1710256680 | Shannon Bradley | Dental Hygienist | 114 Old Farms Rd, Cheshire, CT 06410-3773 | 2011-12-22 |
| 1053720557 | Shannon Deirdre Bradley | Social Worker | 12590 Whitehall Dr, Suite 1, Fort Myers, FL 33907-4680 | 2014-08-08 |
| 1417124538 | Shannon Gabrielle Bradley | Family Medicine | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2008-05-08 |
| 1225082647 | Shannon S Bradley | Obstetrics & Gynecology | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2006-05-20 |
| Street Address |
373 BROADWAY STE. B05 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10013-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760456891 | Vladimir Ginzburt | Specialist | 373 Broadway, Rm E17, New York, NY 10013-3926 | 2006-02-15 |
| 1831559574 | Marc Anthony Lingat | Acupuncturist | 373 Broadway, Suite 506, New York, NY 10013-3926 | 2016-02-23 |
| 1992173462 | Virna Lampinstein | Chiropractor | 373 Broadway, Suite B04, New York, NY 10013 | 2015-09-14 |
| 1538537014 | Tribeca Family Chiropractic LLC | Chiropractor | 373 Broadway, Suite B04, New York, NY 10013 | 2015-09-14 |
| 1962707232 | Jessica Ann Zapotechne | Art Therapist | 373 Broadway, 4th Floor, Room 15, New York, NY 10013-3926 | 2011-01-18 |
| 1134442650 | Henry W Chan | Pharmacist | 373 Broadway, C/o Broadway Downtown Pharmacy, New York, NY 10013-3926 | 2010-03-11 |
| 1720301245 | Loretta Chan | Pharmacist | 373 Broadway, Broadway Downtown Pharmacy, New York, NY 10013-3926 | 2010-03-11 |
| 1538354154 | Pippa Barak | Counselor | 373 Broadway, D-15, New York, NY 10013-3926 | 2007-09-06 |
| 1891896213 | Broadway Downtown Pharmacy Inc. | Pharmacy | 373 Broadway, New York, NY 10013-3926 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1083249411 | Phoebe Richman | Social Worker | 121 Ave of The Americas, New York, NY 10013 | 2020-03-05 |
| 1366087868 | Kelsey C Sjolund | Speech-Language Pathologist | Speak Out New York, 100 Reade Street C/o Gymboree, Tribeca, NY 10013 | 2019-11-08 |
| 1720560717 | Julia I Pema Dolma Gutman | Social Worker | 85 Bayard St, Suite 4, New York, NY 10013 | 2018-09-05 |
| 1881187169 | Markus Burrell | Social Worker | 350 Canal St # 574p, New York, NY 10013 | 2018-06-11 |
| 1659879799 | Shui-fong Chong | Acupuncturist | 139 Centre Street, Suite 315, New York, NY 10013 | 2018-01-23 |
| 1174037758 | Oculus Medical Eye Care PC | Ophthalmology | 139 Centre St Ste 618, New York, NY 10013 | 2017-11-19 |
| 1528570397 | Lauren Haythe | Acupuncturist | 481 Broadway, Suite 3, Manhattan, NY 10013 | 2017-11-01 |
| 1235648395 | William L Jim | Occupational Therapist | 139 Centre St Ste 814, New York, NY 10013 | 2017-09-21 |
| Find all providers in zip 10013 | ||||
| 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 |
|---|---|---|---|---|
| 1730798497 | Ashley Kile | Art Therapist | 72 Saint Nicholas Ave Apt 3g, New York, NY 10026-2956 | 2020-07-29 |
| 1881217644 | Sarah Wofford Mosteller | Art Therapist | 37 W 65th St, New York, NY 10023-6610 | 2020-05-27 |
| 1417581208 | Jill Lewenberg Geller | Art Therapist | 209 E 23rd St Rm 105, New York, NY 10010-3901 | 2020-03-02 |
| 1871125104 | Aleecia Kaloustian | Art Therapist | 65 Cooper Sq Apt 2b, New York, NY 10003-7126 | 2020-02-05 |
| 1093346272 | Kathryn Elizabeth Moreno | Art Therapist | 1115 Broadway Ste 1049, New York, NY 10010-3450 | 2020-01-28 |
| 1942830641 | Susanne Marie Bifano | Art Therapist | 80 Saint Nicholas Pl Apt 4c, New York, NY 10032-8061 | 2020-01-22 |
| 1891334843 | Maria Sossi | Art Therapist | 25 W 26th St # 405, New York, NY 10010-1004 | 2019-12-21 |
| 1871149492 | Sylvia M Martinez | Art Therapist | 226 W 4th St Apt 1, New York, NY 10014-3145 | 2019-08-11 |
| 1659926251 | Jennifer L James | Art Therapist | 337 E 17th St Fl 3, New York, NY 10003-3804 | 2019-08-09 |
| 1457818676 | Minkyung Kim | Art Therapist | 22 E 36th St Apt 2b, New York, NY 10016-3419 | 2019-02-24 |
| Find all providers in NEW YORK | ||||
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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.