Bay Area Music Therapy LLC

Primary specialty

Music TherapistTaxonomy code 225A00000X

Legal business name

BAY AREA MUSIC THERAPY LLC

Practice address

1924 Russell Ave
Santa Rosa, CA 95403-2647

Phone

(707) 595-0995

NPI assigned

Jan 29, 2017

Organization subpart

No

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

Authorized official

Name

Ian F Wilkerson, MT-BC

Title

Ceo/Music Therapist

Phone

(707) 595-0995

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cameron Wood, MT-BC

  • Music Therapist
  • Pacifica, CA
  • NPI 1952176570
  NPD (past)

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485648000000",
    "number": "1619414653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 W COLLEGE AVE # 176",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015046",
            "telephone_number": "707-595-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 RUSSELL AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032647",
            "telephone_number": "707-595-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA MUSIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-29",
        "last_updated": "2017-01-29",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO/MUSIC THERAPIST",
        "authorized_official_telephone_number": "707-595-0995",
        "authorized_official_credential": "MT-BC"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Music Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Music Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; 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.