Active NPI
Susan Davis Warren, MT-BC
- Music Therapist
- Jefferson, MA
National Provider Identifier
1942589312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- CBMT# 04898
- Practice address
- 16 Windy Ridge Rd
Jefferson, MA 01522-1412 - Phone
- (508) 829-2626
- NPI assigned
- Aug 16, 2011
- Last updated
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | CBMT# 04898 | PA | Primary |
Addresses
Primary practice location
16 Windy Ridge Rd
Jefferson, MA 01522-1412
Mailing address
16 Windy Ridge Rd
Jefferson, MA 01522-1412
Phone (508) 829-2626
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 |
|---|---|---|---|
| CBMT# 04898 | PA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1942589312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 WINDY RIDGE RD",
"city": "JEFFERSON",
"state": "MA",
"postal_code": "015221412",
"telephone_number": "508-829-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 WINDY RIDGE RD",
"city": "JEFFERSON",
"state": "MA",
"postal_code": "015221412",
"telephone_number": "508-829-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "SUSAN",
"middle_name": "DAVIS",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "PA",
"license": "CBMT# 04898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.