Active NPI
Meryl Brown, MM, MT-BC, DT
- Music Therapist
- Normal, IL
National Provider Identifier
1255513461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 705 E Lincoln St Ste 209
Normal, IL 61761-6406 - Phone
- (309) 212-6204
- NPI assigned
- Nov 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | MB82230108P | IL | |
| Music Therapist | 225A00000X | Primary |
Addresses
Primary practice location
705 E Lincoln St Ste 209
Normal, IL 61761-6406
Mailing address
17 Long Cove CT
Bloomington, IL 61704-2902
Phone (309) 212-6204
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 |
|---|---|---|---|
| MB82230108P | IL | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dba Developing Melodies | Developmental Therapist | Current | Accepting new patients |
Locations
705 E Lincoln St
Ste 209
Normal, IL 61761
Phone (309) 212-6204
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1255513461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LONG COVE CT",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617042902",
"telephone_number": "309-212-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E LINCOLN ST STE 209",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616406",
"telephone_number": "309-212-6204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MERYL",
"name_prefix": "Mrs.",
"credential": "MM, MT-BC, DT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-29",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "MB82230108P",
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.