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MARK WICKHAM MT-BC
NPI 1972480846
Music Therapist in Southington, CT

Active since August 20, 2025
196 QUEEN ST, SOUTHINGTON, CT 06489(860) 518-5777 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Wickham Mt-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK WICKHAM MT-BC (NPI 1972480846) is an individual music therapist in Southington, Connecticut, licensed in Connecticut (78) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1972480846
Entity TypeIndividualMale
Primary Taxonomy225A00000X
Provider Legal NameMARK WICKHAMCredential: MT-BC
Location Address196 QUEEN STSouthington, CT 06489-1901
Mailing Address196 Queen StSouthington, CT 06489-1901 · (860) 518-5777
Phone(860) 518-5777
Sole ProprietorNo
Enumeration DateAugust 20, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1972480846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMusic TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225A00000X
License✔ Licensed in CT · 78
Definition

Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health.

196 QUEEN ST, Southington, CT 06489
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALERIE ANN KAMEN
Music Therapist
196 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (203) 886-6273
MATTHEW SORENA
Music Therapist
196 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 518-5557
MARISSA GREENE MT-BC
Music Therapist
196 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 518-5557
LYNDA NAIMOLI
Dance Therapist
196 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 518-5557
JILLIAN THERESA GAWRICKI MT-BC
Music Therapist
196 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 518-5557
YIQING XIANG MT-BC
Music Therapist
196 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (203) 886-5348
ANN THOMPSON
Music Therapist
196 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 518-5557
MR. ROBERT CODIO MT-BC
Music Therapist
196 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 518-5557

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Wickham's NPI number?

The NPI number for Mark Wickham is 1972480846. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Mark Wickham located?

Mark Wickham practices at 196 Queen St, Southington, CT 06489. The listed phone number is (860) 518-5777.

What is Mark Wickham's specialty?

The primary specialty registered for this NPI is Music Therapist with taxonomy code 225A00000X.

When was this NPI record last updated?

The NPPES record for Mark Wickham was last updated on August 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.