Provider Demographics
NPI:1417014135
Name:ARBEITMAN, ELISSA (ATR-BC, LCAT, LPAT)
Entity type:Individual
Prefix:
First Name:ELISSA
Middle Name:
Last Name:ARBEITMAN
Suffix:
Gender:F
Credentials:ATR-BC, LCAT, LPAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-2995
Mailing Address - Country:US
Mailing Address - Phone:347-804-8249
Mailing Address - Fax:
Practice Address - Street 1:801 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:BELMAR
Practice Address - State:NJ
Practice Address - Zip Code:07719-2995
Practice Address - Country:US
Practice Address - Phone:347-804-8249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2023-09-02
Deactivation Date:2022-01-19
Deactivation Code:
Reactivation Date:2022-06-01
Provider Licenses
StateLicense IDTaxonomies
221700000X
NY000134-01101YM0800X
NJ16LP00001300101YM0800X, 221700000X
NY000134221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist