Active NPI
Rebecca Dideum, MT-BC
- Music Therapist
- Roswell, GA
National Provider Identifier
1760273726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- MT000141
- Practice address
- 407 Hardscrabble Rd
Roswell, GA 30075-1417 - Phone
- (224) 467-3669
- NPI assigned
- May 16, 2025
- Sex
- Female
- Sole proprietor
- No
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 | MT000141 | GA | Primary |
Addresses
Primary practice location
407 Hardscrabble Rd
Roswell, GA 30075-1417
Mailing address
8117 Colquitt Rd Apt F
Sandy Springs, GA 30350-5917
Phone (757) 647-1563
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 |
|---|---|---|---|
| MT000141 | GA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1760273726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8117 COLQUITT RD APT F",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303505917",
"telephone_number": "757-647-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 HARDSCRABBLE RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300751417",
"telephone_number": "224-467-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIDEUM",
"first_name": "REBECCA",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-16",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "GA",
"license": "MT000141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.