Organization Active NPI

Engage in Play Early Intervention

  • Early Intervention Provider Agency
  • Greenville, SC
National Provider Identifier
1235762519
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ENGAGE IN PLAY EARLY INTERVENTION
Practice address
110 Seabury Dr
Greenville, SC 29615-3318
Phone
(864) 297-0199
NPI assigned
Feb 14, 2020
Last updated
Feb 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Sharon Jennifer Young
Title
Owner/ Early Intervention Specialis
Phone
(864) 297-0199

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

110 Seabury Dr
Greenville, SC 29615-3318

Mailing address

PO Box 26774
Greenville, SC 29616-1774
Phone (864) 297-0199

Other identifiers 1

IdentifierTypeStateIssuer
7000269038MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EngageInPlay2019@gamil.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1235762519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26774",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296161774",
            "telephone_number": "864-297-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SEABURY DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153318",
            "telephone_number": "864-297-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGAGE IN PLAY EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/ EARLY INTERVENTION SPECIALIS",
        "authorized_official_telephone_number": "864-297-0199"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000269038",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EngageInPlay2019@gamil.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 Seabury Dr",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296153318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.