Andrew Michael Kavanagh, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

11939 Issued in NJ

Practice address

2050 W Chester Pike Ste 115
Havertown, PA 19083-2742

Phone

(610) 449-9669

Fax

(610) 449-5566

NPI assigned

Nov 5, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Musicworks

  • Music Therapist
  • Havertown, PA
  • NPI 1144497298
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509840000000",
    "number": "1194237719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FAIRFAX AVE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122846",
            "telephone_number": "609-247-5289",
            "fax_number": "610-449-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W CHESTER PIKE STE 115",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832742",
            "telephone_number": "610-449-9669",
            "fax_number": "610-449-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-05",
        "last_updated": "2017-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NJ",
            "license": "11939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Karamanides, MD
• Karycare Home Care Inc
• Karycare Home Care Inc
• Bryce Kasuba, MA, LPC LADC
• John G Kaufman, D.C.
• Jack Elias Kazanjian, D.O.
• David Edward Keenan, LCSW
• Kiley Keenan, RDN
• Melissa Kelly, BCBA
• Rachel Kelly, BS

• Music Therapist in Havertown, PA
• Providers in Havertown, PA by specialty
• Music Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.