Organization Active NPI

Playdate, Inc

Doing business as PlayDate Behavioral Intervention

  • In Home Supportive Care Agency
  • Colorado Springs, CO
National Provider Identifier
1124665096
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PLAYDATE, INC
Doing business as
PlayDate Behavioral Intervention
Practice address
6050 Erin Park Dr
Colorado Springs, CO 80918-3488
Phone
(719) 465-3989
NPI assigned
Dec 10, 2019
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Mrs. Christina Marie Nulk, BCBANPI 1003092255
Title
Executive Director
Phone
(719) 465-3989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6050 Erin Park Dr
Colorado Springs, CO 80918-3488

Mailing address

6050 Erin Park Dr
Colorado Springs, CO 80918-3488
Phone (719) 465-3989

Other names 1

  • PlayDate Behavioral Intervention Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Playdate Behavioral Intervention3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1124665096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 ERIN PARK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183488",
            "telephone_number": "719-465-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 ERIN PARK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183488",
            "telephone_number": "719-465-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYDATE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "NULK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-465-3989",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PlayDate Behavioral Intervention",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.