Jillian Theresa Gawricki, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

15981 Issued in NY

Practice address

196 Queen St
Southington, CT 06489-1901

Phone

(860) 518-5557

Fax

(888) 200-4093

NPI assigned

Feb 18, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1760075949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 QUEEN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891901",
            "telephone_number": "860-518-5557",
            "fax_number": "888-200-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 QUEEN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891901",
            "telephone_number": "860-518-5557",
            "fax_number": "888-200-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWRICKI",
        "first_name": "JILLIAN",
        "middle_name": "THERESA",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NY",
            "license": "15981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian@infinitymusictherapy.com",
            "affiliation": "Y",
            "endpointDescription": "Email address",
            "affiliationName": "Infinity Music Therapy Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Practice email address that is protected",
            "address_1": "196 Queen St",
            "city": "Southington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064891901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gwynetta Gallup
• Tanya Antoinette Galvin, RPH
• David Gardner, PHARMD
• Keshap Gautam
• Brendan Gauthier, DC
• General Medical Practice Associates, P.C.
• Vickie Christine Gerdon, PA-C
• Kristin D Gilbert, OTR/L
• Shayla Giles
• Rachel Godburn

• Music Therapist in Southington, CT
• Providers in Southington, CT by specialty
• Music Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.