Merrill Heath Collins Peterkin, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

13063

Practice address

96 Hecker Ave
Darien, CT 06820-5310

Phone

(203) 722-0406

NPI assigned

Sep 15, 2022

Last updated

Sep 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Merrill Heath Collins Peterkin Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1235851387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 HECKER AVE",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205310",
            "telephone_number": "203-722-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 HECKER AVE",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205310",
            "telephone_number": "203-722-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS PETERKIN",
        "first_name": "MERRILL",
        "middle_name": "HEATH",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "CT",
            "license": "13063",
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "13063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "merrillcollins63@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Other",
            "address_1": "96 Hecker Ave",
            "city": "Darien",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068205310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MERRILL",
            "last_name": "COLLINS PETERKIN",
            "middle_name": "HEATH",
            "credential": "MT-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Music Therapist in Darien, CT
• Providers in Darien, CT by specialty
• Music Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.