Intergenerational School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

INTERGENERATIONAL SCHOOL

Practice address

11327 Shaker Blvd Ste 200
Cleveland, OH 44104-3805

Phone

(216) 456-2086

Fax

(216) 391-4770

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Charles E Daane

Title

Cfo

Phone

(216) 456-2086

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409961600000",
    "number": "1548601768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11327 SHAKER BLVD STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043805",
            "telephone_number": "216-456-2086",
            "fax_number": "216-391-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11327 SHAKER BLVD STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441043805",
            "telephone_number": "216-456-2086",
            "fax_number": "216-391-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERGENERATIONAL SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2014-09-06",
        "status": "A",
        "authorized_official_last_name": "DAANE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-456-2086"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daranee Intralawan, M.D.

• Local Education Agency (LEA) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Local Education Agency (LEA) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; 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.