Organization Active NPI

Children's Theraputic Learning Center

  • Early Intervention Provider Agency
  • Kansas City, MO
National Provider Identifier
1194953158
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
2009014174 Issued in MO
Legal business name
CHILDREN'S THERAPUTIC LEARNING CENTER
Practice address
3101 Main St
Kansas City, MO 64111-1921
Phone
(816) 756-0780
Fax
(816) 756-1677
NPI assigned
Jun 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Dr. Nancy Montgomery, CCC-SLP
Title
Program Director
Phone
(816) 756-0780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 2009014174 MO Primary

Addresses

Primary practice location

3101 Main St
Kansas City, MO 64111-1921

Mailing address

3101 Main St
Kansas City, MO 64111-1921

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1194953158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111921",
            "telephone_number": "816-756-0780",
            "fax_number": "816-756-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPUTIC LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "816-756-0780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MO",
            "license": "2009014174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.