Wonder Years Services LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

WONDER YEARS SERVICES LLC

Practice address

178 Larkin CT
Stratford, CT 06615-7464

Phone

(203) 981-8105

NPI assigned

Jun 17, 2019

Organization subpart

No

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

Authorized official

Name

Pauline Sims, MSED

Title

Ceo

Phone

(203) 981-8105

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1427618016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 LARKIN CT",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157464",
            "telephone_number": "203-981-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 LARKIN CT",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157464",
            "telephone_number": "203-981-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER YEARS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-981-8105",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "wonder",
            "affiliation": "N",
            "endpointDescription": "womder years",
            "address_1": "178 Larkin Ct",
            "city": "Stratford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066157464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.