Organization Active NPI

Excaliber Consulting Inc.

  • Early Intervention Provider Agency
  • East Norwich, NY
National Provider Identifier
1194968289
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
EXCALIBER CONSULTING INC.
Practice address
115 Split Oak Dr
East Norwich, NY 11732-1146
Phone
(516) 521-2726
NPI assigned
Apr 20, 2009
Last updated
Apr 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Lisa Alvarez Kieran, MA, CCC - SLPNPI 1669615738
Title
President
Phone
(516) 521-2726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

115 Split Oak Dr
East Norwich, NY 11732-1146

Mailing address

115 Split Oak Dr
East Norwich, NY 11732-1146
Phone (516) 521-2726

National Provider Directory

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": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1194968289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SPLIT OAK DR",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321146",
            "telephone_number": "516-521-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SPLIT OAK DR",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321146",
            "telephone_number": "516-521-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCALIBER CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "KIERAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ALVAREZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-521-2726",
        "authorized_official_credential": "MA, CCC - SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norwich, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.