Organization Active NPI

Edadvance

  • Local Education Agency (LEA)
  • Torrington, CT
National Provider Identifier
1205192309
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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)CodeLicenseStatePrimary
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
Edadvance3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.