Active NPI
Edadvance
- Local Education Agency (LEA)
- Torrington, CT
National Provider Identifier
1205192309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- EDADVANCE
- Practice address
- 157 Litchfield St
Torrington, CT 06790-6427 - Phone
- (860) 294-7473
- Fax
- (860) 567-3381
- NPI assigned
- Apr 3, 2012
- Last updated
- Feb 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Kitching, PH.D.
- Title
- Executive Director
- Phone
- (860) 567-0863
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU | ||
| Pediatric Physical Therapist | 2251P0200X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Local Education Agency (LEA) | 251300000X | NU | Primary |
Addresses
Primary practice location
157 Litchfield St
Torrington, CT 06790-6427
Mailing address
355 Goshen Rd
Litchfield, CT 06759-2404
Phone (860) 567-0863
National Provider Directory
National Provider Directory- Tax ID family
- Edadvance
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Litchfield, CT
- NPI 1386765089
-
- Local Education Agency (LEA)
- Litchfield, CT
- NPI 1912334939
Locations
157 Litchfield St
Torrington, CT 06790
Phone (860) 489-1328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487894400000",
"number": "1205192309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 GOSHEN RD",
"city": "LITCHFIELD",
"state": "CT",
"postal_code": "067592404",
"telephone_number": "860-567-0863",
"fax_number": "860-567-3381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 LITCHFIELD ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067906427",
"telephone_number": "860-294-7473",
"fax_number": "860-567-3381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDADVANCE",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-03",
"last_updated": "2017-02-24",
"status": "A",
"authorized_official_last_name": "KITCHING",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "860-567-0863",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.