Organization Active NPI

Special Lives, Inc.

  • Early Intervention Provider Agency
  • Centereach, NY
National Provider Identifier
1558845271
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SPECIAL LIVES, INC.
Practice address
15 Shearwater Way
Centereach, NY 11720-4313
Phone
(631) 820-1984
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Dana Marie Planz, MSEDNPI 1952664765
Title
Director
Phone
(631) 820-1984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

15 Shearwater Way
Centereach, NY 11720-4313

Mailing address

15 Shearwater Way
Centereach, NY 11720-4313
Phone (631) 820-1984

Other identifiers 1

IdentifierTypeStateIssuer
1952664765OtherNYSPECIAL EDUCATOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1558845271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SHEARWATER WAY",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204313",
            "telephone_number": "631-820-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SHEARWATER WAY",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204313",
            "telephone_number": "631-820-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL LIVES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "PLANZ",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-820-1984",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL EDUCATOR",
            "identifier": "1952664765",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.