Active NPI
Corinne Stypulkoski, MT-BC
- Music Therapist
- West Palm Beach, FL
National Provider Identifier
1386312197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 13366
- Practice address
- 4430 Portofino Way Apt 203
West Palm Beach, FL 33409-7894 - Phone
- (561) 290-2941
- NPI assigned
- Sep 6, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 13366 | NY | Primary |
Addresses
Primary practice location
4430 Portofino Way Apt 203
West Palm Beach, FL 33409-7894
Mailing address
14539 Sundial PL
Lakewood Ranch, FL 34202-5895
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13366 | NY | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630886400000",
"number": "1386312197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14539 SUNDIAL PL",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342025895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 PORTOFINO WAY APT 203",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334097894",
"telephone_number": "561-290-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYPULKOSKI",
"first_name": "CORINNE",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-06",
"last_updated": "2021-09-06",
"certification_date": "2021-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NY",
"license": "13366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.