MS. MICHELLE ALANE MASBAUM LCPC, ATR-BC, CDVP NPI 1639230618

Art Therapist in Evanston, IL

NPI 1639230618 Individual Female Art Therapist

About MICHELLE MASBAUM

Michelle Masbaum is a provider established in Evanston, Illinois and her medical specialization is art therapist. The NPI number of Michelle Masbaum is 1639230618 and was assigned on December 2006. The practitioner's primary taxonomy code is 221700000X with license number 05-003 (IL). The provider is registered as an individual and her NPI record was last updated 14 years ago.

Michelle Masbaum is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1639230618

Provider NameMS. MICHELLE ALANE MASBAUM LCPC, ATR-BC, CDVP
Provider Location Address744 HINMAN AVE APT 2 EVANSTON, IL 60202
Provider Mailing Address744 HINMAN AVE APT 2 EVANSTON, IL 60202
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date12-13-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code221700000X
ClassificationArt Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.05-003
License StateIL
Taxonomy Description(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.

Business Address

MS. MICHELLE ALANE MASBAUM LCPC, ATR-BC, CDVP
744 HINMAN AVE APT 2
EVANSTON, IL
ZIP 60202
Phone: (847) 745-3036
Fax: (847) 745-3096

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Mailing Address

MS. MICHELLE ALANE MASBAUM LCPC, ATR-BC, CDVP
744 HINMAN AVE APT 2
EVANSTON, IL
ZIP 60202
Phone: (847) 745-3036
Fax: (847) 745-3096



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalILN/A

Taxonomy Description: Not Available

2171R00000XOther Service ProvidersInterpreterILN/A

Taxonomy Description: an Interpreter is a person who translates oral communication between two or more people. This includes translating from one language to another or interpreting sign language. An interpreter is necessary for medical care when the patient does not speak the language of the health care provider or when the patient has a disability involving spoken language.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.