Organization Active NPI

Ucpa of Putnam and Southern Dutchess Counties

  • Early Intervention Provider Agency
  • Brewster, NY
National Provider Identifier
1679938088
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
4 Issued in NY
Legal business name
UCPA OF PUTNAM AND SOUTHERN DUTCHESS COUNTIES
Practice address
15 Mount Ebo Rd S
Brewster, NY 10509-4004
Phone
(845) 878-9078
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Rhona Hanshaft
Title
Director
Phone
(845) 878-9078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 4 NY Primary

Addresses

Primary practice location

15 Mount Ebo Rd S
Brewster, NY 10509-4004

Mailing address

15 Mt Ebo Rd South
Brewster, NY 10509

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679938088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MT EBO RD SOUTH",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "10509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOUNT EBO RD S",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094004",
            "telephone_number": "845-878-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCPA OF PUTNAM AND SOUTHERN DUTCHESS COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HANSHAFT",
        "authorized_official_first_name": "RHONA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-878-9078"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.