NPIMap

Organization Active NPI

Cornerstone Autism Center

  • Early Intervention Provider Agency
  • Greenwood, IN
National Provider Identifier
1447562434
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CORNERSTONE AUTISM CENTER
Practice address
360 Polk St.
Greenwood, IN 46143
Phone
(317) 888-1557
Fax
(317) 888-1571
NPI assigned
Jul 8, 2010
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Mr. David Paul Ide
Title
Executive Director
Phone
(317) 797-8580

Specialties & licenses 1

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

Addresses

Primary practice location

360 Polk St.
Greenwood, IN 46143

Mailing address

360 Polk St.
Greenwood, IN 46143
Phone (317) 888-1557

National Provider Directory

National Provider Directory

Locations

7517 Beechwood Centre Rd
Ste 200
Avon, IN 46123
Phone (317) 272-7510

360 Polk St
Greenwood, IN 46143
Phone (317) 888-1557

Practitioners & affiliated clinicians

Practitioners 103

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 103

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1447562434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 POLK ST.",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "46143",
            "telephone_number": "317-888-1557",
            "fax_number": "317-888-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 POLK ST.",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "46143",
            "telephone_number": "317-888-1557",
            "fax_number": "317-888-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "IDE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-797-8580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.