Organization Active NPI

Early Intervention Specialist, Inc.

  • Early Intervention Provider Agency
  • York, PA
National Provider Identifier
1124337530
Registry record updated Oct 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
780227 Issued in NJ
Legal business name
EARLY INTERVENTION SPECIALIST, INC.
Practice address
6864 Susquehanna TRL S
York, PA 17403-9320
Phone
(717) 428-0151
NPI assigned
Oct 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2010

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

Authorized official

Name
Miss Lauren Nicholl, ED.S
Title
Psychologist
Phone
(856) 625-5115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 780227 NJ Primary

Addresses

Primary practice location

6864 Susquehanna TRL S
York, PA 17403-9320

Mailing address

1201 E Poplar St
York, PA 17403-1828
Phone (856) 625-5115

National Provider Directory

National Provider Directory

Locations

6864 Susquehanna Trl S
York, PA 17403
Phone (717) 428-0150

Practitioners & affiliated clinicians

Practitioners 2

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": "1286064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286064000000",
    "number": "1124337530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E POPLAR ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174031828",
            "telephone_number": "856-625-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6864 SUSQUEHANNA TRL S",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174039320",
            "telephone_number": "717-428-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY INTERVENTION SPECIALIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-03",
        "last_updated": "2010-10-03",
        "status": "A",
        "authorized_official_last_name": "NICHOLL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "856-625-5115",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ED.S"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NJ",
            "license": "780227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.