NPIMap

Organization Active NPI

Otsego County Early Intervention

  • Early Intervention Provider Agency
  • Cooperstown, NY
National Provider Identifier
1356473748
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
OTSEGO COUNTY EARLY INTERVENTION
Practice address
140 County Highway 33W
Suite 3
Cooperstown, NY 13326-4953
Phone
(607) 547-6474
Fax
(607) 547-6402
NPI assigned
Mar 12, 2007
Last updated
Jun 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Heidi Bond
Title
Public Health Director
Phone
(607) 547-6474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary
Local Education Agency (LEA) 251300000X NU

Addresses

Primary practice location

140 County Highway 33W
Suite 3
Cooperstown, NY 13326-4953

Mailing address

140 County Highway 33W
Suite 3
Cooperstown, NY 13326-4953
Phone (607) 547-6474

Other identifiers 1

IdentifierTypeStateIssuer
00473510MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Meadows County of Otseg11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

140 County Highway 33W
Ste 3
Cooperstown, NY 13326
Phone (607) 547-4230

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1356473748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COUNTY HIGHWAY 33W",
            "address_2": "SUITE 3",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133264953",
            "telephone_number": "607-547-6474",
            "fax_number": "607-547-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COUNTY HIGHWAY 33W",
            "address_2": "SUITE 3",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133264953",
            "telephone_number": "607-547-6474",
            "fax_number": "607-547-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTSEGO COUNTY EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "607-547-6474"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooperstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.