NPIMap

Organization Active NPI

Quality Services for the Autism Community

  • Early Intervention Provider Agency
  • Douglaston, NY
National Provider Identifier
1356686042
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
031992-1 Issued in NY
Legal business name
QUALITY SERVICES FOR THE AUTISM COMMUNITY
Practice address
24537 60TH Ave
Douglaston, NY 11362-2014
Phone
(718) 728-8476
Fax
(718) 229-7359
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Dr. Kristen Dumoulin, PHD
Title
Clinical Director
Phone
(718) 728-8476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 031992-1 NY Primary

Addresses

Primary practice location

24537 60TH Ave
Douglaston, NY 11362-2014

Mailing address

253 W 35TH St
16TH Floor
New York, NY 10001-1907
Phone (718) 728-8476

National Provider Directory

National Provider Directory
Tax ID family
Qsac Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

24537 60th Ave
Little Neck, NY 11362
Phone (718) 767-0071

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1356686042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 W 35TH ST",
            "address_2": "16TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011907",
            "telephone_number": "718-728-8476",
            "fax_number": "718-229-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24537 60TH AVE",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113622014",
            "telephone_number": "718-728-8476",
            "fax_number": "718-229-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY SERVICES FOR THE AUTISM COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "DUMOULIN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "718-728-8476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "031992-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglaston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.