NPIMap

Organization Active NPI

Integrative Music Therapy, LLC

  • Music Therapist
  • Evansville, IN
National Provider Identifier
1942489018
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Legal business name
INTEGRATIVE MUSIC THERAPY, LLC
Practice address
621 S Cullen Ave
Suite 118
Evansville, IN 47715-4137
Phone
(812) 491-9400
Fax
(812) 474-2242
NPI assigned
Oct 25, 2007
Last updated
May 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Mrs. Karyn C. Depriest, MT-BCNPI 1124198072
Title
Music Therapist/Owner
Phone
(812) 205-6834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X NU Primary

Addresses

Primary practice location

621 S Cullen Ave
Suite 118
Evansville, IN 47715-4137

Mailing address

5288 Landview Dr
Newburgh, IN 47630-3002
Phone (812) 853-9817

National Provider Directory

National Provider Directory

Locations

621 S Cullen Ave
Ste 118
Evansville, IN 47715
Phone (812) 491-9400

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1942489018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5288 LANDVIEW DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303002",
            "telephone_number": "812-853-9817",
            "fax_number": "814-253-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S CULLEN AVE",
            "address_2": "SUITE 118",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154137",
            "telephone_number": "812-491-9400",
            "fax_number": "812-474-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MUSIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "DEPRIEST",
        "authorized_official_first_name": "KARYN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MUSIC THERAPIST/OWNER",
        "authorized_official_telephone_number": "812-205-6834",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT-BC"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.