Constance Bach, M.S., MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

08208 Issued in IN

Practice address

1213 E Bronson St
South Bend, IN 46615-1141

Phone

(574) 287-8342

NPI assigned

Jan 15, 2008

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2009.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1770769259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 E BRONSON ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151141",
            "telephone_number": "574-287-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 E BRONSON ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151141",
            "telephone_number": "574-287-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "CONSTANCE",
        "credential": "M.S., MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "IN",
            "license": "08208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200939840 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in South Bend, IN
• Music Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.