Amy Thomas, LCAT, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

000771 Issued in NY

Practice address

401 Penbrooke Dr
Building 3
Penfield, NY 14526-2041

Phone

(585) 377-1000

NPI assigned

Oct 16, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Upstate Music Therapy Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Penfield, NY
  • NPI 1619796331
  NPD

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1255939682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4688 E WILLIAMSON RD",
            "city": "MARION",
            "state": "NY",
            "postal_code": "145059330",
            "telephone_number": "585-750-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PENBROOKE DR",
            "address_2": "BUILDING 3",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262041",
            "telephone_number": "585-377-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMY",
        "credential": "LCAT, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "000771",
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NY",
            "license": "000771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@upstatemtc.com",
            "affiliation": "N",
            "endpointDescription": "Private Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 Penbrooke Dr Bldg 3",
            "city": "Penfield",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145262041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy James Thai, MSN, FNP-C
• Malathy Tharumarajah, M.D.
• Therapy Services PT and OT
• Deepak Thettu
• Thomas Campbell, MD., PLLC
• Jennifer Thomas, RN
• Kathryn A Thomas
• Raven Sykiria Thomas
• Katherine Laura Toomey, RN BSN
• Celia Moodie Topping, MNS, RD, CDE

• Music Therapist in Penfield, NY
• Providers in Penfield, NY by specialty
• Music Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.