Active NPI
Jaclyn Sinclair, MT-BC
- Music Therapist
- Meriden, CT
National Provider Identifier
1073048229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 12213
- Practice address
- 122 Windsor Ave
2ND Floor
Meriden, CT 06451-2900 - Phone
- (860) 518-5557
- NPI assigned
- Apr 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 12213 | NY | Primary |
Addresses
Primary practice location
122 Windsor Ave
2ND Floor
Meriden, CT 06451-2900
Mailing address
122 Windsor Ave
2ND Floor
Meriden, CT 06451-2900
Phone (860) 518-5557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12213 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jona Lesage Maloney | Music Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1073048229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 WINDSOR AVE",
"address_2": "2ND FLOOR",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512900",
"telephone_number": "860-518-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 WINDSOR AVE",
"address_2": "2ND FLOOR",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512900",
"telephone_number": "860-518-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCLAIR",
"first_name": "JACLYN",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NY",
"license": "12213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.