NPIMap

Organization Active NPI

Moli Pediatric Therapy, LLC

Doing business as Moli Autism Center

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1053881904
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MOLI PEDIATRIC THERAPY, LLC
Doing business as
Moli Autism Center
Practice address
2008 General Booth Blvd Ste B
Virginia Beach, VA 23454-5910
Phone
(757) 301-2411
Fax
(888) 966-0621
NPI assigned
Dec 4, 2018
Last updated
Oct 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Danielle Jackson Lippoldt, M.A.NPI 1720391022
Title
Founder & Ceo
Phone
(757) 301-2411

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
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2008 General Booth Blvd Ste B
Virginia Beach, VA 23454-5910

Mailing address

2008 General Booth Blvd Ste B
Virginia Beach, VA 23454-5910
Phone (757) 803-5663

Other names 1

  • Moli Autism Center Doing business as

National Provider Directory

National Provider Directory

Locations

373 Edwin Dr
Virginia Beach, VA 23462
Phone (757) 301-2411

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1053881904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 GENERAL BOOTH BLVD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545910",
            "telephone_number": "757-803-5663",
            "fax_number": "888-966-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 GENERAL BOOTH BLVD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545910",
            "telephone_number": "757-301-2411",
            "fax_number": "888-966-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLI PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "LIPPOLDT",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "757-301-2411",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moli Autism Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moli Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.