Organization Active NPI

Creative Early Intervention, Inc.

  • Early Intervention Provider Agency
  • Pennsburg, PA
National Provider Identifier
1720562168
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CREATIVE EARLY INTERVENTION, INC.
Practice address
119 Dotts St
Pennsburg, PA 18073-1337
Phone
(267) 382-6131
NPI assigned
Sep 21, 2018
Last updated
Sep 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
Amy J Poulson
Title
President
Phone
(267) 382-6131

Specialties & licenses 1

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

Addresses

Primary practice location

119 Dotts St
Pennsburg, PA 18073-1337

Mailing address

119 Dotts St
Pennsburg, PA 18073-1337
Phone (267) 382-6131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1720562168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 DOTTS ST",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731337",
            "telephone_number": "267-382-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 DOTTS ST",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731337",
            "telephone_number": "267-382-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE EARLY INTERVENTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "POULSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-382-6131"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.