Small Wonders Early Intervention Services, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SMALL WONDERS EARLY INTERVENTION SERVICES, INC.

Practice address

1364 Reynolds Rd
Johnson City, NY 13790-4837

Phone

(607) 584-0709

Fax

(607) 770-1446

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Vaughn Washburn, M. ED.

Title

President

Phone

(607) 798-8056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1124279757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 REYNOLDS RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137904837",
            "telephone_number": "607-584-0709",
            "fax_number": "607-770-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 REYNOLDS RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137904837",
            "telephone_number": "607-584-0709",
            "fax_number": "607-770-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL WONDERS EARLY INTERVENTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "VAUGHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-798-8056",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M. ED."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suvetha Sivakumar
• Rachel Marie Skovira, NP
• Mary Catherine Slome, MD
• Bozena Rozum Slota, MD
• Kirtan Slottje, MS, RD, CDN
• Peggy Ann Smith Rood, LMT
• Aubrin Smith
• Gregory Scott Smith, LMSW
• Joyce M Smith, RPH
• Lydia Anne Smith, LCSW

• Early Intervention Provider Agency in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.