Active NPI
Harbor City Pediatrics Early Intervention and Educational Testing Serv
- Early Intervention Provider Agency
- Baltimore, MD
National Provider Identifier
1356693485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- HARBOR CITY PEDIATRICS EARLY INTERVENTION AND EDUCATIONAL TESTING SERV
- Practice address
- 11 Terron CT
Baltimore, MD 21234-5929 - Phone
- (443) 631-0445
- NPI assigned
- Oct 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eshauna Lewis
- Title
- Owner
- Phone
- (443) 631-0445
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Primary | ||
| Exclusive Provider Organization | 302F00000X | |||
| Health Maintenance Organization | 302R00000X | |||
| Preferred Provider Organization | 305R00000X | |||
| Point of Service | 305S00000X |
Addresses
Primary practice location
11 Terron CT
Baltimore, MD 21234-5929
Mailing address
11 Terron CT
Baltimore, MD 21234-5929
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350086400000",
"number": "1356693485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 TERRON CT",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212345929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 TERRON CT",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212345929",
"telephone_number": "443-631-0445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR CITY PEDIATRICS EARLY INTERVENTION AND EDUCATIONAL TESTING SERV",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-13",
"last_updated": "2012-10-13",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "ESHAUNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-631-0445"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.