Windham Ashland Jewett CSD

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WINDHAM ASHLAND JEWETT CSD

Practice address

5411 State Route 23
Windham, NY 12496

Phone

(518) 734-4229

Fax

(518) 734-6050

NPI assigned

Dec 22, 2006

Last updated

May 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Mattice

Title

Business Official

Phone

(518) 734-4229

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1598820359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 429",
            "city": "WINDHAM",
            "state": "NY",
            "postal_code": "12496",
            "telephone_number": "518-734-4229",
            "fax_number": "518-734-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 STATE ROUTE 23",
            "city": "WINDHAM",
            "state": "NY",
            "postal_code": "12496",
            "telephone_number": "518-734-4229",
            "fax_number": "518-734-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM ASHLAND JEWETT CSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "MATTICE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS OFFICIAL",
        "authorized_official_telephone_number": "518-734-4229"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01381960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Town of Windham
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• Local Education Agency (LEA) in Windham, NY
• Providers in Windham, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.