Active NPI
A William Kermavner
- Music Therapist
- Willowick, OH
National Provider Identifier
1730025875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 22564917
- Practice address
- 808 Deborah Dr
Willowick, OH 44095-4317 - Phone
- (440) 585-7841
- NPI assigned
- Apr 28, 2026
- Last updated
- Apr 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 22564917 | OH | Primary |
Addresses
Primary practice location
808 Deborah Dr
Willowick, OH 44095-4317
Mailing address
808 Deborah Dr
Willowick, OH 44095-4317
Phone (440) 585-7841
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22564917 | OH | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1730025875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 DEBORAH DR",
"city": "WILLOWICK",
"state": "OH",
"postal_code": "440954317",
"telephone_number": "440-585-7841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 DEBORAH DR",
"city": "WILLOWICK",
"state": "OH",
"postal_code": "440954317",
"telephone_number": "440-585-7841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERMAVNER",
"first_name": "A",
"middle_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-28",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "OH",
"license": "22564917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willowick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.