Organization Active NPI

Creative Arts Therapy Studio, LLC

  • Music Therapist
  • Alexandria, VA
National Provider Identifier
1255739850
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Legal business name
CREATIVE ARTS THERAPY STUDIO, LLC
Practice address
5459 Mittendorff LN
Alexandria, VA 22315-3906
Phone
(202) 627-0072
NPI assigned
Dec 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Mr. Irvin Sayoc Kalugdan, MT-BC, MMTNPI 1679971279
Title
Music Therapist / Owner
Phone
(202) 627-0072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X
Dance TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225600000X
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X Primary

Addresses

Primary practice location

5459 Mittendorff LN
Alexandria, VA 22315-3906

Mailing address

5459 Mittendorff LN
Alexandria, VA 22315-3906
Phone (202) 627-0072

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1255739850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5459 MITTENDORFF LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223153906",
            "telephone_number": "202-627-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5459 MITTENDORFF LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223153906",
            "telephone_number": "202-627-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE ARTS THERAPY STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "KALUGDAN",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_middle_name": "SAYOC",
        "authorized_official_title_or_position": "MUSIC THERAPIST / OWNER",
        "authorized_official_telephone_number": "202-627-0072",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT-BC, MMT"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.