Alyssa Davis Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10300000 Issued in NY

Legal business name

ALYSSA DAVIS INC.

Practice address

39 Lori Way
Hauppauge, NY 11788-4301

Phone

(917) 842-6189

NPI assigned

Oct 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Feig, LBCBA

Title

Executive Director

Phone

(646) 741-3748

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1376946426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LORI WAY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884301",
            "telephone_number": "917-842-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LORI WAY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884301",
            "telephone_number": "917-842-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYSSA DAVIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "FEIG",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "646-741-3748",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LBCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "10300000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTISM PROVIDER",
            "identifier": "D",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE",
            "identifier": "10300000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.