Active NPI
Kenneth Baracaldo, MS, MT-BC, LCAT
- Music Therapist
- Bronx, NY
National Provider Identifier
1083240253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 13782
- Practice address
- 1400 Pelham Pkwy S
Bronx, NY 10461-1138 - Phone
- (347) 661-9917
- NPI assigned
- Mar 19, 2020
- Sex
- Male
- 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 | 13782 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Bronx, NY 10461-1138
Mailing address
7 Terrace Cir Apt 1E
Great Neck, NY 11021-4127
Phone (347) 661-9917
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13782 | NY | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1083240253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 TERRACE CIR APT 1E",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214127",
"telephone_number": "347-661-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "347-661-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARACALDO",
"first_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "MS, MT-BC, LCAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-19",
"last_updated": "2022-02-24",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NY",
"license": "13782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.