United Cerebral Palsy Association of the Tri-Counties, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

EI20070906 Issued in NY

Legal business name

UNITED CEREBRAL PALSY ASSOCIATION OF THE TRI-COUNTIES, INC.

Practice address

133 Aviation Rd
Queensbury, NY 12804-8206

Phone

(518) 798-0170

Fax

(518) 743-0227

NPI assigned

Nov 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Arthur Larrie Gouge

Title

Executive Director

Phone

(518) 798-0170

Specialties & licenses 1

Addresses

Other names 1

• Prospect Child and Family Center Doing business as

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1518110618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 AVIATION RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128048206",
            "telephone_number": "518-798-0170",
            "fax_number": "518-743-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 AVIATION RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128048206",
            "telephone_number": "518-798-0170",
            "fax_number": "518-743-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOCIATION OF THE TRI-COUNTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "GOUGE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "LARRIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-798-0170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "EI20070906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prospect Child and Family Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Machelle Anne Trzaskos, LPN
• Lisa J Tubbs, RN
• Mary H Tyree, MS ED
• Stephanie Leigh Tyrer, COTA/L
• Susan Marie Tyrrell, CRPA
• United Cerebral Palsy Association of the Tri-Counties, Inc.
• Upstate Applied Behavior Analysis Services PLLC
• Peter Joseph Valastro Jr., NP
• Tara A Vanburen, OTR/L
• Amanda Grace Vanderzee

• Early Intervention Provider Agency in Queensbury, NY
• Providers in Queensbury, 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 Nov 3, 2008; 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.