NPIMap

Organization Active NPI

Kolchins/Thomas Infant Development Services, Inc.

  • Early Intervention Provider Agency
  • Calabasas, CA
National Provider Identifier
1255654687
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
KOLCHINS/THOMAS INFANT DEVELOPMENT SERVICES, INC.
Practice address
26560 Agoura Rd
110-B
Calabasas, CA 91302-1926
Phone
(818) 880-1260
Fax
(818) 880-1360
NPI assigned
Mar 12, 2010
Last updated
Mar 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Jackie Fisher, LCSW
Title
Coordinator/Owner
Phone
(818) 880-1260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

26560 Agoura Rd
110-B
Calabasas, CA 91302-1926

Mailing address

26560 Agoura Rd
110-B
Calabasas, CA 91302-1926
Phone (818) 880-1260

Other names 1

  • KIDS Other name

National Provider Directory

National Provider Directory

Locations

26560 Agoura Rd
Ste 110B
Calabasas, CA 91302
Phone (818) 207-3827

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1255654687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26560 AGOURA RD",
            "address_2": "110-B",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021926",
            "telephone_number": "818-880-1260",
            "fax_number": "818-880-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26560 AGOURA RD",
            "address_2": "110-B",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021926",
            "telephone_number": "818-880-1260",
            "fax_number": "818-880-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLCHINS/THOMAS INFANT DEVELOPMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "COORDINATOR/OWNER",
        "authorized_official_telephone_number": "818-880-1260",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.