Individual provider Active NPI

Ina Robin Mufson

  • Developmental Therapist
  • Central Valley, NY
National Provider Identifier
1174861975
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
2 Corporate Drive
Suite 203
Central Valley, NY 10917
Phone
(845) 928-9780
NPI assigned
Jan 29, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

2 Corporate Drive
Suite 203
Central Valley, NY 10917

Mailing address

P.O Box 195
Dynamic Center
Florida, NY 10921
Phone (845) 928-9780

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1174861975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 195",
            "address_2": "DYNAMIC CENTER",
            "city": "FLORIDA",
            "state": "NY",
            "postal_code": "10921",
            "telephone_number": "845-928-9780",
            "fax_number": "845-928-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DRIVE",
            "address_2": "SUITE 203",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "10917",
            "telephone_number": "845-928-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFSON",
        "first_name": "INA",
        "middle_name": "ROBIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.