Advanced Child Therapies LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ADVANCED CHILD THERAPIES LLC

Practice address

200 Forest Dr
Jericho, NY 11753-2320

Phone

(516) 776-0386

Fax

(516) 938-8411

NPI assigned

Jan 21, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Ann Chase, MSNPI 1326184748

Title

Executive Director

Phone

(516) 776-0386

Specialties & licenses 2

Addresses

Practitioners 2

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

• Debra Ann Chase, M.S.

  • School Psychologist
  • Jericho, NY
  • NPI 1326184748
  NPD Authorized official
• Iqnoor Deep Kaur

  • Social Worker
  • Jericho, NY
  • NPI 1962097196
  NPD

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1669861126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FOREST DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532320",
            "telephone_number": "516-776-0386",
            "fax_number": "516-938-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FOREST DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532320",
            "telephone_number": "516-776-0386",
            "fax_number": "516-938-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHILD THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-776-0386",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "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": [],
    "endpoints": [],
    "other_names": []
}

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• Baylee Albitz, LMSW

• Early Intervention Provider Agency in Jericho, NY
• Providers in Jericho, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.