Autism Rec

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

AUTISM REC

Practice address

1140 S 26TH St
Philadelphia, PA 19146-3849

Phone

(215) 200-0405

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

Jacqueline Lacinski, MA, CCC-SLP

Title

Speech Therapist

Phone

(484) 326-9900

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1245973593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190230605",
            "telephone_number": "215-200-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S 26TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463849",
            "telephone_number": "215-200-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM REC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "LACINSKI",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "484-326-9900",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336560192",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.autismrec.org",
            "affiliation": "N",
            "address_1": "1140 S 26th St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191463849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Auteri, MD
• Patrick Auth, PAC
• Authorized Paybridge
• Shifa Mehmood Auti, DPT
• Autism Living and Working, Inc.
• Anjali Avadhani, MD
• Nikhil Vignesh Avadhani, MD
• Avail Care Solutions LLC
• Available for You Homecare LLC
• Elorm Fred Kenneth Avakame, MD

• Developmental Disabilities Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Developmental Disabilities Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.