Organization Active NPI

Shake Rattle and Grow Music Therapy Services, L.L.C.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1366565236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHAKE RATTLE AND GROW MUSIC THERAPY SERVICES, L.L.C.
Practice address
15206 N 37TH Ave
Phoenix, AZ 85053-4622
Phone
(602) 708-3997
NPI assigned
Apr 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Erin R Benaim, MT-BC
Title
Co-Director
Phone
(602) 708-3997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

15206 N 37TH Ave
Phoenix, AZ 85053-4622

Mailing address

PO Box 54339
Phoenix, AZ 85078-4339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366565236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54339",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850784339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15206 N 37TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534622",
            "telephone_number": "602-708-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKE RATTLE AND GROW MUSIC THERAPY SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENAIM",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "602-708-3997",
        "authorized_official_credential": "MT-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.