NPIMap

Organization Active NPI

East End Kids Therapy, Inc.

  • Home Health Agency
  • Southampton, NY
National Provider Identifier
1265562979
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EAST END KIDS THERAPY, INC.
Practice address
502 N Sea Rd
Southampton, NY 11968-2012
Phone
(631) 267-2900
Fax
(631) 267-2950
NPI assigned
Mar 6, 2007
Last updated
Apr 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Stephen Peter Sicilian, PSYCHOLOGIST
Title
Executive Director
Phone
(631) 267-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

502 N Sea Rd
Southampton, NY 11968-2012

Mailing address

502 N Sea Rd
Southampton, NY 11968-2012
Phone (631) 267-2900

National Provider Directory

National Provider Directory

Locations

502 N Sea Rd
Southampton, NY 11968
Phone (631) 267-2900

Practitioners & affiliated clinicians

Practitioners 5

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1265562979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N SEA RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119682012",
            "telephone_number": "631-267-2900",
            "fax_number": "631-267-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N SEA RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119682012",
            "telephone_number": "631-267-2900",
            "fax_number": "631-267-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END KIDS THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "SICILIAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-267-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.