NPIMap

Organization Active NPI

Interactive Kids LLC

  • Community/Behavioral Health Agency
  • Marlton, NJ
National Provider Identifier
1679898092
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTERACTIVE KIDS LLC
Practice address
3002 Lincoln Dr W Ste E
Marlton, NJ 08053-1527
Phone
(856) 810-7599
NPI assigned
Mar 29, 2010
Last updated
Mar 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Steve Trout
Title
Director of Clinical Services
Phone
(856) 810-7599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3002 Lincoln Dr W Ste E
Marlton, NJ 08053-1527

Mailing address

3002 Lincoln Dr W Ste E
Marlton, NJ 08053-1527

National Provider Directory

National Provider Directory
Tax ID family
Interactive Kids2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3002 Lincoln Dr W
Ste E
Marlton, NJ 08053
Phone (856) 810-7599

Practitioners & affiliated clinicians

Practitioners 8

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": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1679898092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 LINCOLN DR W STE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 LINCOLN DR W STE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531527",
            "telephone_number": "856-810-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "TROUT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "856-810-7599"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.