Active NPI
Phoenix Early Intervention LLC
- Early Intervention Provider Agency
- Albany, NY
National Provider Identifier
1245199116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- PHOENIX EARLY INTERVENTION LLC
- Practice address
- 418 Broadway Ste N
Albany, NY 12207-2922 - Phone
- (518) 241-6552
- NPI assigned
- Jan 16, 2026
- 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
- Mr. Jesse Casco
- Title
- Ceo
- Phone
- (917) 231-5776
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
418 Broadway Ste N
Albany, NY 12207-2922
Mailing address
350 Northern Blvd Ste 324-1565
Albany, NY 12204-1000
National Provider Directory
National Provider DirectoryLocations
350 Northern Blvd
Ste 3241565
Albany, NY 12204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768521600000",
"number": "1245199116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NORTHERN BLVD STE 324-1565",
"city": "ALBANY",
"state": "NY",
"postal_code": "122041000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 BROADWAY STE N",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072922",
"telephone_number": "518-241-6552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX EARLY INTERVENTION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-16",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A",
"authorized_official_last_name": "CASCO",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-231-5776",
"authorized_official_name_prefix": "Mr."
},
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.