Active NPI
Mikayla Marie Austin, MT-BC
- Music Therapist
- Long Island City, NY
National Provider Identifier
1912720483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 17393
- Practice address
- 3552 Steinway St Apt 3
Long Island City, NY 11101-1423 - Phone
- (919) 672-8831
- NPI assigned
- Nov 4, 2024
- Last updated
- Nov 4, 2024
- 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 | 17393 | NY | Primary |
Addresses
Primary practice location
3552 Steinway St Apt 3
Long Island City, NY 11101-1423
Mailing address
3552 Steinway St Apt 3
Long Island City, NY 11101-1423
Phone (919) 672-8831
Other names 1
- Theo Austin
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 |
|---|---|---|---|
| 17393 | NY | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1912720483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3552 STEINWAY ST APT 3",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111011423",
"telephone_number": "919-672-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3552 STEINWAY ST APT 3",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111011423",
"telephone_number": "919-672-8831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "MIKAYLA",
"middle_name": "MARIE",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NY",
"license": "17393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THEO",
"last_name": "AUSTIN",
"credential": "MT-BC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.