Active NPI
Special Lives, Inc.
- Early Intervention Provider Agency
- Centereach, NY
National Provider Identifier
1558845271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Marie Planz, MSED
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952664765 | Other | NY | SPECIAL EDUCATOR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Centereach, NY
- NPI 1952664765
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.