Individual provider Active NPI

Marilyn Veronica Benvenuto, MT-BC

  • Music Therapist
  • Havertown, PA
National Provider Identifier
1275205361
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
16247 Issued in PA
Practice address
2050 West Chester Pike
Ste 115
Havertown, PA 19083-2742
Phone
(610) 449-9669
Fax
(610) 449-5566
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 16247 PA Primary

Addresses

Primary practice location

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

Mailing address

2050 West Chester Pike
Ste 115
Havertown, PA 19083-2742
Phone (610) 449-9669

Other practice location 1

472 Blair Mill Road
Hatboro, PA 19040-4397
Phone (215) 443-9669

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

LicenseStateTypeSpecialty
16247PAMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Musicworks Music Therapist PastSince Oct 5, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1275205361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 WEST CHESTER PIKE",
            "address_2": "STE 115",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832742",
            "telephone_number": "610-449-9669",
            "fax_number": "610-449-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 WEST CHESTER PIKE",
            "address_2": "STE 115",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832742",
            "telephone_number": "610-449-9669",
            "fax_number": "610-449-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "472 Blair Mill Road",
            "address_purpose": "LOCATION",
            "city": "Hatboro",
            "state": "PA",
            "postal_code": "190404397",
            "country_code": "US",
            "telephone_number": "215-443-9669",
            "fax_number": "215-443-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENVENUTO",
        "first_name": "MARILYN",
        "middle_name": "VERONICA",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "PA",
            "license": "16247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.