Organization Active NPI

Just Kids, PLLC

  • Early Intervention Provider Agency
  • Saratoga Springs, NY
National Provider Identifier
1053557538
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
011819-1 Issued in NY
Legal business name
JUST KIDS, PLLC
Practice address
33 Magnolia Dr
Saratoga Springs, NY 12866-5380
Phone
(518) 584-2168
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Kelly M Gennoy, CCC-SLPNPI 1598919599
Title
Co-Owner
Phone
(518) 584-2168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 011819-1 NY Primary

Addresses

Primary practice location

33 Magnolia Dr
Saratoga Springs, NY 12866-5380

Mailing address

33 Magnolia Dr
Saratoga Springs, NY 12866-5380
Phone (518) 584-2168

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1053557538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MAGNOLIA DR",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665380",
            "telephone_number": "518-584-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAGNOLIA DR",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665380",
            "telephone_number": "518-584-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST KIDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "GENNOY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "518-584-2168",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "011819-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.