Active NPI
Music Therapy for Special Needs
Doing business as 901 Music Therapy
- Music Therapist
- Memphis, TN
National Provider Identifier
1558133009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Legal business name
- MUSIC THERAPY FOR SPECIAL NEEDS
- Doing business as
- 901 Music Therapy
- Practice address
- 1102 Brookfield Rd
Memphis, TN 38119-3826 - Phone
- (901) 606-9569
- NPI assigned
- Oct 27, 2023
- Last updated
- Oct 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaitlyn Crocker, MT-BC
- Title
- Executive Director
- Phone
- (901) 606-9569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | Primary |
Addresses
Primary practice location
1102 Brookfield Rd
Memphis, TN 38119-3826
Mailing address
1102 Brookfield Rd
Memphis, TN 38119-3826
Other names 1
- 901 Music Therapy
National Provider Directory
National Provider DirectoryLocations
1102 Brookfield Rd
Memphis, TN 38119
Phone (901) 337-7524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698364800000",
"number": "1558133009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 BROOKFIELD RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 BROOKFIELD RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193826",
"telephone_number": "901-606-9569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSIC THERAPY FOR SPECIAL NEEDS",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A",
"authorized_official_last_name": "CROCKER",
"authorized_official_first_name": "KAITLYN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "901-606-9569",
"authorized_official_credential": "MT-BC"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "901 Music Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.