Mose and Garrison Siskin Memorial Foundation, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.

Doing business as

Siskin Children's Institute

Practice address

1101 Carter St
Chattanooga, TN 37402-5017

Phone

(423) 490-7710

Fax

(423) 490-7750

NPI assigned

Sep 25, 2018

Organization subpart

Yes

Parent organization

MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.As reported in NPPES

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

Authorized official

Name

Stephanie Cooper-Wilkes

Title

Director Healthcare Administration

Phone

(423) 490-7727

Specialties & licenses 4

Addresses

Other names 1

• Siskin Children's Institute Doing business as

Tax ID family

Mose and Garrison Siskin Memorial Foundation Inc3 organizations share this tax ID, including this one

Part of

Mose and Garrison Siskin Memorial Foundation Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mose and Garrison Siskin Memorial Foundation, Inc.

  dba Siskin Center for Developmental Pediatrics

  • Specialist
  • Chattanooga, TN
  • NPI 1902132509
  NPD tax ID
• Mose and Garrison Siskin Memorial Foundation

  dba Siskin Center for Developmental Pediatrics

  • Behavior Analyst
  • Marietta, GA
  • NPI 1255992319
  NPD tax ID

Locations

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1619451739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CARTER ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374025017",
            "telephone_number": "423-490-7710",
            "fax_number": "423-490-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CARTER ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374025017",
            "telephone_number": "423-490-7710",
            "fax_number": "423-490-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "COOPER-WILKES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR HEALTHCARE ADMINISTRATION",
        "authorized_official_telephone_number": "423-490-7727"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siskin Children's Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Siskin Children's Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dylan Mitchell Morrow, DDS
• James E Morrow, MD
• Morrow's Modern Dental, PLLC
• Hannah Grace Morton, BT
• Janel Morton, COTA
• Mose and Garrison Siskin Memorial Foundation, Inc. (Siskin Center for Developmental Pediatrics)
• Jennifer Leann Moser
• Melissa A Moser, MSN, FNP-C
• Jamie H Moses, APN
• Thomas E Moses, MD

• Early Intervention Provider Agency in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Early Intervention Provider Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.