NPIMap

Organization Active NPI

Early Intervention LLC

  • Early Intervention Provider Agency
  • Danbury, CT
National Provider Identifier
1417328337
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
16022 Issued in NY
Legal business name
EARLY INTERVENTION LLC
Practice address
42 Lake Avenue Ext
#286
Danbury, CT 06811-5279
Phone
(888) 320-5550
Fax
(516) 706-1962
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Mr. John Stevenson, TSHH, TSE, SDANPI 1952608283
Title
President
Phone
(888) 320-5550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 16022 NY Primary

Addresses

Primary practice location

42 Lake Avenue Ext
#286
Danbury, CT 06811-5279

Mailing address

42 Lake Avenue Ext
#286
Danbury, CT 06811-5279
Phone (888) 320-5550

National Provider Directory

National Provider Directory

Locations

42 Lake Avenue Ext
#286
Danbury, CT 06811
Phone (516) 769-5274

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1417328337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LAKE AVENUE EXT",
            "address_2": "#286",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115279",
            "telephone_number": "888-320-5550",
            "fax_number": "516-706-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LAKE AVENUE EXT",
            "address_2": "#286",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115279",
            "telephone_number": "888-320-5550",
            "fax_number": "516-706-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-320-5550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "TSHH, TSE, SDA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "16022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.