Individual provider Active NPI

Kimberly Gallagher, MA, MT-BC

  • Music Therapist
  • Mountain Lakes, NJ
National Provider Identifier
1609426626
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
13388 Issued in NJ
Practice address
60 Midvale Rd Ste 210
Mountain Lakes, NJ 07046-1309
Phone
(973) 588-5557
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 13388 NJ Primary

Addresses

Primary practice location

60 Midvale Rd Ste 210
Mountain Lakes, NJ 07046-1309

Mailing address

60 Midvale Rd Ste 210
Mountain Lakes, NJ 07046-1309
Phone (973) 588-5557

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
13388NJMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Search Records LLC CurrentSince Mar 28, 2021 Accepting new patients

Locations

60 Midvale Rd
Ste 210
Mountain Lakes, NJ 07046
Phone (973) 588-5557

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1609426626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MIDVALE RD STE 210",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461309",
            "telephone_number": "973-588-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MIDVALE RD STE 210",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461309",
            "telephone_number": "973-588-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "KIMBERLY",
        "credential": "MA, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NJ",
            "license": "13388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.