Organization Active NPI

Divine Early Intervention Services

  • Developmental Therapist
  • Maple Shade, NJ
National Provider Identifier
1679417216
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
DIVINE EARLY INTERVENTION SERVICES
Practice address
298 Great Rd
Maple Shade, NJ 08052-3045
Phone
(347) 570-6310
Fax
(347) 570-6310
NPI assigned
Apr 15, 2026
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Merline Denis, DENIS
Title
Owner
Phone
(347) 570-6310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

298 Great Rd
Maple Shade, NJ 08052-3045

Mailing address

298 Great Rd
Maple Shade, NJ 08052-3045
Phone (347) 570-6310

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1679417216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 GREAT RD",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080523045",
            "telephone_number": "347-570-6310",
            "fax_number": "347-570-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 GREAT RD",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080523045",
            "telephone_number": "347-570-6310",
            "fax_number": "347-570-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE EARLY INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "DENIS",
        "authorized_official_first_name": "MERLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-570-6310",
        "authorized_official_credential": "DENIS"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Shade, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.