Organization Active NPI

Intervention for Young Children

  • Developmentally Disabled Services Day Training Agency
  • Williamston, NC
National Provider Identifier
1598885899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
INTERVENTION FOR YOUNG CHILDREN
Practice address
1077 Hillcrest Dr
Williamston, NC 27892-8698
Phone
(252) 799-9555
Fax
(252) 809-1055
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deborah C. Rogers, M.A., M.S.
Title
President
Phone
(252) 799-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1077 Hillcrest Dr
Williamston, NC 27892-8698

Mailing address

1077 Hillcrest Dr
Williamston, NC 27892-8698
Phone (252) 799-9555

Other identifiers 1

IdentifierTypeStateIssuer
8300144MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598885899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 HILLCREST DR",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278928698",
            "telephone_number": "252-799-9555",
            "fax_number": "252-809-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 HILLCREST DR",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278928698",
            "telephone_number": "252-799-9555",
            "fax_number": "252-809-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTION FOR YOUNG CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-799-9555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., M.S."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300144",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.