Active NPI
Angelo Molino, MT
- Music Therapist
- Irvine, CA
National Provider Identifier
1366034043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 124 Stellar
Irvine, CA 92618-0846 - Phone
- (949) 330-0797
- NPI assigned
- Feb 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | Primary |
Addresses
Primary practice location
124 Stellar
Irvine, CA 92618-0846
Mailing address
124 Stellar
Irvine, CA 92618-0846
Phone (949) 330-0797
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | team@athenamwt.com | Direct |
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
- Credentials
- Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1366034043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 STELLAR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926180846",
"telephone_number": "949-330-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 STELLAR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926180846",
"telephone_number": "949-330-0797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINO",
"first_name": "ANGELO",
"name_prefix": "Prof.",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-04",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "team@athenamwt.com",
"affiliation": "N",
"endpointDescription": "professional email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Info",
"address_1": "124 Stellar",
"city": "Irvine",
"state": "CA",
"country_code": "US",
"postal_code": "926180846",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.