Provider Demographics
NPI:1881300119
Name:LOVESZY, REBECCA ANNE (MT-BC, LCAT)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANNE
Last Name:LOVESZY
Suffix:
Gender:F
Credentials:MT-BC, LCAT
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:RAMIREZ
Other - Last Name:LOVESZY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MT-BC, LCAT
Mailing Address - Street 1:112 WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2070
Mailing Address - Country:US
Mailing Address - Phone:646-831-8662
Mailing Address - Fax:
Practice Address - Street 1:112 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-2070
Practice Address - Country:US
Practice Address - Phone:646-831-8662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC10199283X00000X, 283XC2000X, 320900000X
171400000X, 251G00000X
NY000914225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No283X00000XHospitalsRehabilitation Hospital
No283XC2000XHospitalsRehabilitation HospitalChildren
No171400000XOther Service ProvidersHealth & Wellness Coach
No251G00000XAgenciesHospice Care, Community Based
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
10199OtherBOARD CERTIFICATION NUMBER
NY000914OtherLICENSED CREATIVE ARTS THERAPIST - LCAT