Kelly Kay Fagala, BCBA, MA, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

Practice address

453 Summit Place CT
Fenton, MO 63026-3573

Phone

(314) 258-0913

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447317144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 SUMMIT PLACE CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263573",
            "telephone_number": "636-305-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 SUMMIT PLACE CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263573",
            "telephone_number": "314-258-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGALA",
        "first_name": "KELLY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "BCBA, MA, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Music Therapist in Fenton, MO
• Providers in Fenton, MO by specialty
• Music Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.