Active NPIIndividual provider

Shane Sullivan, MT-BC

Music Therapist in Meriden, Connecticut

NPI Number1992220917
Practice location
122 Windsor Ave Fl 2, Meriden, CT 06451-2900
Fax
—
Last updated
August 10, 2017

Shane Sullivan is a Music Therapist based in Meriden, CT. Shane Sullivan practices in Meriden, CT and has the professional credentials of MT-BC. The NPI Number for Shane Sullivan is 1992220917. The current practice location address for Shane Sullivan is 122 Windsor Ave Fl 2, Meriden, CT 06451-2900 and can be reached out via phone at 860-222-5332.

Provider Profile Details

NPI Number
1992220917
Provider Name
Shane Sullivan
Credential
MT-BC
Provider Entity Type
Individual
Gender
Male
Address
122 Windsor Ave Fl 2, Meriden, CT 06451-2900
Phone Number
860-222-5332
Primary Taxonomy
Music Therapist · 225A00000X
Sole Proprietor
No
Provider Enumeration Date
August 10, 2017
Last Update Date
August 10, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
122 Windsor Ave Fl 2
Meriden, CT 06451-2900
Zip
06451-2900
Phone Number
860-222-5332
Meriden, CT 06451Get directions →

Provider Business Mailing Address Details

Address
122 Windsor Ave Fl 2
Meriden, CT 06451-2900
City
Meriden
State
CT
Zip
06451-2900

License Information

Taxonomy
Music Therapist · 225A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shane Sullivan, MT-BC?

The NPI number of Shane Sullivan, MT-BC is 1992220917. It was assigned on August 10, 2017 and is currently active in the NPPES registry.

What is the specialty of Shane Sullivan, MT-BC?

Shane Sullivan, MT-BC is registered under the primary taxonomy Music Therapist (code 225A00000X).

Where does Shane Sullivan, MT-BC practice?

The practice location is 122 Windsor Ave Fl 2, Meriden, CT 06451-2900. The office can be reached at 860-222-5332 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992220917 directly on the NPPES registry website.

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