Individual provider Active NPI

Pauline De Vet, BC-MT, NMT

  • Music Therapist
  • Phoenix, AZ
National Provider Identifier
1720613227
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
15707 Issued in AZ
Practice address
2702 N 3Rd St Ste 1000
Phoenix, AZ 85004-4605
Phone
(602) 840-6410
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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 15707 AZ Primary

Addresses

Primary practice location

2702 N 3Rd St Ste 1000
Phoenix, AZ 85004-4605

Mailing address

7557 N Dreamy Draw Dr Unit 225
Phoenix, AZ 85020-4656
Phone (480) 401-7333

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

State licenses

LicenseStateTypeSpecialty
15707AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurologic Music Therapy Services of Arizona Music Therapist PastSince Mar 9, 2020 Accepting new patients

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1720613227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 N DREAMY DRAW DR UNIT 225",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204656",
            "telephone_number": "480-401-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 N 3RD ST STE 1000",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044605",
            "telephone_number": "602-840-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VET",
        "first_name": "PAULINE",
        "credential": "BC-MT, NMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "AZ",
            "license": "15707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.