Active NPI
Wonder Kids
- Early Intervention Provider Agency
- Stamford, CT
National Provider Identifier
1053627489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 013791-1
- Legal business name
- WONDER KIDS
- Practice address
- 21 Mercedes LN
Stamford, CT 06905-2605 - Phone
- (203) 569-6697
- NPI assigned
- Aug 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ralph Schrader
- Title
- Otr/L
- Phone
- (914) 421-8270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 013791-1 | NY | Primary |
Addresses
Primary practice location
21 Mercedes LN
Stamford, CT 06905-2605
Mailing address
21 Mercedes LN
Stamford, CT 06905-2605
Phone (203) 569-6697
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282521600000",
"number": "1053627489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MERCEDES LN",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069052605",
"telephone_number": "203-569-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MERCEDES LN",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069052605",
"telephone_number": "203-569-6697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WONDER KIDS",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A",
"authorized_official_last_name": "SCHRADER",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "OTR/L",
"authorized_official_telephone_number": "914-421-8270"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "013791-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.