Southern Tier Special Needs Resources LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SOUTHERN TIER SPECIAL NEEDS RESOURCES LLC

Practice address

38 Margaret St
Johnson City, NY 13790-3016

Phone

(607) 206-4799

Fax

(607) 797-7601

NPI assigned

Aug 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mary Theresa Schrader, PHD

Title

Owner / Managing Member

Phone

(607) 206-4799

Specialties & licenses 3

Addresses

Practitioners 2

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

• Jay Alan Coloney

  • Behavior Analyst
  • Johnson City, NY
  • NPI 1942631031
  NPD (past)
• Theresa Schrader, PHD

  • Behavior Analyst
  • Johnson City, NY
  • NPI 1326476284
  NPD (past)

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1407280225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MARGARET ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903016",
            "telephone_number": "607-206-4799",
            "fax_number": "607-797-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MARGARET ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903016",
            "telephone_number": "607-206-4799",
            "fax_number": "607-797-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER SPECIAL NEEDS RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "607-206-4799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Tier AIDS Program, Inc.
• Southern Tier Chiropractic PLLC
• Southern Tier Family Nurse Practitioner Services
• Southern Tier Physical Therapy of Johnson City
• Southern Tier Pulmonary & Critical Care Medicine LLC
• Southern Tier Surgery Center LLC
• Southern Tier Surgical PLLC
• Joshua Sowle, NP
• Jennifer Spalik
• Kara Spalik, N.P.

• Early Intervention Provider Agency in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.