Organization Active NPI

Association for Technology Dependent Children

  • Case Management Agency
  • Hauppauge, NY
National Provider Identifier
1336312941
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ASSOCIATION FOR TECHNOLOGY DEPENDENT CHILDREN
Practice address
15 Calico Tree Rd
Hauppauge, NY 11788-2623
Phone
(631) 878-8900
Fax
(631) 878-8201
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Mr. Bob Policastro
Title
Executive Director and Founder
Phone
(631) 878-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

15 Calico Tree Rd
Hauppauge, NY 11788-2623

Mailing address

15 Calico Tree Rd
Hauppauge, NY 11788-2623
Phone (631) 878-8900

Other identifiers 1

IdentifierTypeStateIssuer
01569204MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1336312941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CALICO TREE RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882623",
            "telephone_number": "631-878-8900",
            "fax_number": "631-878-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALICO TREE RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882623",
            "telephone_number": "631-878-8900",
            "fax_number": "631-878-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION FOR TECHNOLOGY DEPENDENT CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "POLICASTRO",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR AND FOUNDER",
        "authorized_official_telephone_number": "631-878-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01569204",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.