A Place for My Special Needs Early Intervention

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

A PLACE FOR MY SPECIAL NEEDS EARLY INTERVENTION

Practice address

14 Clarke St
Brentwood, NY 11717-2002

Phone

(631) 434-6665

NPI assigned

Feb 3, 2017

Last updated

Feb 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Akeesha Lockitt

Title

President

Phone

(631) 434-6665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1245778844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CLARKE ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117172002",
            "telephone_number": "631-434-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CLARKE ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117172002",
            "telephone_number": "631-434-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLACE FOR MY SPECIAL NEEDS EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "LOCKITT",
        "authorized_official_first_name": "AKEESHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-434-6665"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.