Organization Active NPI

Innovation in Education

  • Community/Behavioral Health Agency
  • New Haven, CT
National Provider Identifier
1184097040
Registry record updated Nov 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INNOVATION IN EDUCATION
Practice address
342 Ellsworth Ave
New Haven, CT 06511-7103
Phone
(203) 641-3216
NPI assigned
Nov 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2015

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

Authorized official

Name
Susan Kaufman
Title
Chief Executive Officer
Phone
(203) 641-3216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CT Primary

Addresses

Primary practice location

342 Ellsworth Ave
New Haven, CT 06511-7103

Mailing address

158 N Timber LN
Cheshire, CT 06410-3941
Phone (203) 641-3216

National Provider Directory

National Provider Directory
Tax ID family
Innovation in Education2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

342 Ellsworth Ave
New Haven, CT 06511
Phone (203) 641-3216

NPI Registry JSON

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446336000000",
    "number": "1184097040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 N TIMBER LN",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103941",
            "telephone_number": "203-641-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 ELLSWORTH AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065117103",
            "telephone_number": "203-641-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION IN EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "203-641-3216"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; 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.