Evan Cupo, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

13598 Issued in NJ

Practice address

60 Midvale Road
Mountain Lakes, NJ 07046

Phone

(973) 588-5557

NPI assigned

Aug 30, 2018

Last updated

Aug 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soul Search Records LLC

  • Community/Behavioral Health Agency
  • Mountain Lakes, NJ
  • NPI 1598342677
  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1861974420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MIDVALE RD STE 210",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461309",
            "telephone_number": "973-588-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MIDVALE ROAD",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "07046",
            "telephone_number": "973-588-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPO",
        "first_name": "EVAN",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NJ",
            "license": "13598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger D Colonna, PSYCHOLOGIST ED D
• Guillermo A Cook, M.D.
• Counseling With a Difference
• Rebecca Cristino, M.S. CCC-SLP
• William J Cunningham, M.D.
• Peter Dabrowski, M.D.
• Darlene M. Osipuk, MD, PA
• Kristen Denaro, NP-C
• Marjorie Denninger, PT
• Denville Physical Therapy, LLC (Carroll Physical Therapy)

• Music Therapist in Mountain Lakes, NJ
• Providers in Mountain Lakes, NJ by specialty
• Music Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.