NPIMap

Organization Active NPI

Judi Dobner Therapist Agency LLC

  • Early Intervention Provider Agency
  • Airmont, NY
National Provider Identifier
1033345186
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
JUDI DOBNER THERAPIST AGENCY LLC
Practice address
386 Route 59
Suite 102
Airmont, NY 10952-3428
Phone
(845) 368-7927
Fax
(845) 368-7929
NPI assigned
Jun 3, 2009
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Sam Dobner, PHD
Title
Ceo
Phone
(845) 368-7927

Specialties & licenses 1

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

Addresses

Primary practice location

386 Route 59
Suite 102
Airmont, NY 10952-3428

Mailing address

386 Route 59
Suite 102
Airmont, NY 10952-3428
Phone (845) 368-7927

Other names 1

  • JDTA Other name

National Provider Directory

National Provider Directory

Locations

386 Route 59
Ste 102
Airmont, NY 10952
Phone (845) 368-7927

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1033345186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 ROUTE 59",
            "address_2": "SUITE 102",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523428",
            "telephone_number": "845-368-7927",
            "fax_number": "845-368-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 ROUTE 59",
            "address_2": "SUITE 102",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523428",
            "telephone_number": "845-368-7927",
            "fax_number": "845-368-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDI DOBNER THERAPIST AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "DOBNER",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-368-7927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JDTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Airmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.