Clara Teall, MT-BC, NMT

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

16091

Practice address

401 E Prospect Ave Ste 208
Mount Prospect, IL 60056-3396

Phone

(734) 476-9712

NPI assigned

Nov 12, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1699431791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 W FARGO AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261768",
            "telephone_number": "734-476-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E PROSPECT AVE STE 208",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563396",
            "telephone_number": "734-476-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEALL",
        "first_name": "CLARA",
        "credential": "MT-BC, NMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "16091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION BOARD FOR MUSIC THERAPISTS",
            "identifier": "16091",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "clara@prospectmusictherapy.net",
            "affiliation": "N",
            "endpointDescription": "Prospect Music Therapy e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 E Prospect Ave Ste 208",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600563396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Tamras, DC
• Tina S. Tan, DM.D
• Manish Tanna, MD
• Kathryn Bernadette Tax, DPT
• Paige Nicole Taylor
• Katarzyna Wilhelm Terracciano, CCC-SLP
• Sean Cass Terry, PSY.D.
• Douglas A Tesnow, L.P.C.
• Hardik M Thakkar, PHARM.D
• Jorly Thariath

• Music Therapist in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Music Therapist in Illinois

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

Verify at the official NPI Registry.