Cedar Ridge Children's Home and School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

3395 Issued in MD

Legal business name

CEDAR RIDGE CHILDREN'S HOME AND SCHOOL

Practice address

12146 Cedar Ridge Rd
Williamsport, MD 21795-3031

Phone

(301) 582-0282

NPI assigned

Aug 22, 2008

Last updated

Aug 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Paula Shatzer

Title

Cfo

Phone

(301) 582-0282

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1073760948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12146 CEDAR RIDGE RD",
            "address_2": "P.O. BOX 439",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217953031",
            "telephone_number": "301-582-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12146 CEDAR RIDGE RD",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217953031",
            "telephone_number": "301-582-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIDGE CHILDREN'S HOME AND SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "SHATZER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-582-0282",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MD",
            "license": "3395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541728700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Nicole Burgan, PTA
• Kelsey Buterbaugh, COTA/L
• Karen Jill C Iccarelli, M.D.
• Cynthia L Campbell, CRNA
• Rebecca Anne Cavanaugh, LCPC
• Judith Ann Christner, SLP
• Amanda Marie Cook, LMSW
• County Medical Transport, Inc
• Jordan Cronin, DDS
• Tania Ruth Crussiah, M.D.

• Local Education Agency (LEA) in Williamsport, MD
• Providers in Williamsport, MD by specialty
• Local Education Agency (LEA) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.