NPIMap

Organization Active NPI

Autism Connection, Inc.

  • Neurodevelopmental Disabilities Physician
  • Bel Air, MD
National Provider Identifier
1427768225
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurodevelopmental Disabilities PhysicianTaxonomy code 2084P0005X
Legal business name
AUTISM CONNECTION, INC.
Practice address
101 E Wheel Rd
Bel Air, MD 21015-6114
Phone
(727) 366-0323
NPI assigned
Dec 2, 2022
Last updated
Dec 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Ms. Annie Koukoulis, MA.T
Title
Owner/Director
Phone
(443) 457-3354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurodevelopmental Disabilities Physician 2084P0005X NU Primary

Addresses

Primary practice location

101 E Wheel Rd
Bel Air, MD 21015-6114

Mailing address

3359 Cheverly CT
Abingdon, MD 21009-2854
Phone (727) 366-0323

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akoukoulis@autismconnectioninc.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Autism Connection Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1427768225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 CHEVERLY CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092854",
            "telephone_number": "727-366-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WHEEL RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156114",
            "telephone_number": "727-366-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "KOUKOULIS",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "443-457-3354",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA.T"
    },
    "taxonomies": [
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akoukoulis@autismconnectioninc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 E Wheel Rd",
            "city": "Bel Air",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210156114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.