Active NPI
Creative Early Intervention, Inc.
- Early Intervention Provider Agency
- Pennsburg, PA
National Provider Identifier
1720562168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Nancy L Compton
- Concern-Professional Services for Children, Youth & Families
- Concern-Professional Services for Children, Youth & Families
- Kara Elaine Cota, PT
- Madushini Gunawardana Craner, D.O
- Creative Health Services Inc
- Emily Cupples
- Brittany T Dennis-McLeod, RDN, LDN, MS
- Maryrose A Discipio, ATC, LMT
- Kailey Dittus
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.