Individual provider Active NPI

Andrea Cliscagne, MT-BC

  • Music Therapist
  • Antioch, CA
National Provider Identifier
1346943412
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
16039 Issued in CA
Practice address
5609 McFarlan Ranch Dr
Antioch, CA 94531-8650
Phone
(925) 848-7462
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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 16039 CA Primary

Addresses

Primary practice location

5609 McFarlan Ranch Dr
Antioch, CA 94531-8650

Mailing address

5609 McFarlan Ranch Dr
Antioch, CA 94531-8650
Phone (925) 848-7462

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

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1346943412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 MCFARLAN RANCH DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318650",
            "telephone_number": "925-848-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 MCFARLAN RANCH DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318650",
            "telephone_number": "925-848-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLISCAGNE",
        "first_name": "ANDREA",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "CA",
            "license": "16039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.