College Internship Program, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

COLLEGE INTERNSHIP PROGRAM, INC.

Practice address

3716 N Wickham Rd
Suite 1
Melbourne, FL 32935-2324

Phone

(321) 259-1900

Fax

(321) 259-1907

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Carol Bernard

Title

Bookkeeper

Phone

(321) 259-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1679736656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 N WICKHAM RD",
            "address_2": "SUITE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352324",
            "telephone_number": "321-259-1900",
            "fax_number": "321-259-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 N WICKHAM RD",
            "address_2": "SUITE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352324",
            "telephone_number": "321-259-1900",
            "fax_number": "321-259-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE INTERNSHIP PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "321-259-1900"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Gernaye Cole, RBT
• Barbara S Coleman, PA
• Samuel Case Colgin, BS
• Jose Coll, CSA
• Loren Collarile
• Janet L. Colli, M.D.
• Millicent Dair Collignon
• Beverly Ann Collins, PA C
• Brandon Collins, DC
• Brittany Nicole Collins, ARNP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.