Organization Active NPI

Advance Birth to Three

  • Early Intervention Provider Agency
  • Middlebury, CT
National Provider Identifier
1023322617
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ADVANCE BIRTH TO THREE
Practice address
590 Middlebury Rd
Suite a
Middlebury, CT 06762-2562
Phone
(203) 577-3700
Fax
(203) 577-3800
NPI assigned
Aug 6, 2010
Last updated
Aug 6, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCE THERAPY ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Melissa Gibbs
Title
Director
Phone
(203) 577-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

590 Middlebury Rd
Suite a
Middlebury, CT 06762-2562

Mailing address

590 Middlebury Rd
Suite a
Middlebury, CT 06762-2562
Phone (203) 577-3700

National Provider Directory

National Provider Directory
Tax ID family
Advance Therapy Associates2 organizations share this tax ID, including this one
Part of
Advance Therapy Associates

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

590 Middlebury Rd
Ste A
Middlebury, CT 06762
Phone (203) 528-4718

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1023322617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MIDDLEBURY RD",
            "address_2": "SUITE A",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622562",
            "telephone_number": "203-577-3700",
            "fax_number": "203-577-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MIDDLEBURY RD",
            "address_2": "SUITE A",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622562",
            "telephone_number": "203-577-3700",
            "fax_number": "203-577-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE BIRTH TO THREE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCE THERAPY ASSOCIATES, LLC",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-577-3700"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.