Therapeutic Intervention Early Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW9510 Issued in FL

Legal business name

THERAPEUTIC INTERVENTION EARLY SERVICES, INC.

Practice address

9470 Live Oak PL Apt 405
Davie, FL 33324-4747

Phone

(754) 204-0312

Fax

(954) 302-1830

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Paula Locke

Title

President

Phone

(754) 204-0312

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Therapeutic Intervention Early Service, inc. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Serge Celestin, M.D.

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1639284193
  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1316176381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 LIVE OAK PL",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244769",
            "telephone_number": "754-204-0312",
            "fax_number": "954-302-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 LIVE OAK PL APT 405",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244747",
            "telephone_number": "754-204-0312",
            "fax_number": "954-302-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC INTERVENTION EARLY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-204-0312"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "CAP3324",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "SW9510",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW9510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761451900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Intervention Early Service, inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Marie Theragene
• Therapeeds, Inc.
• Therapeutic Learning,LLC
• Therapeutic Touch Therapy, Inc.
• Therapy Team Solutions
• Jane Mireille Therrien, O.D.
• Alicia Renee Theus, DMFT

• Community/Behavioral Health Agency in Davie, FL
• Providers in Davie, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.