Acacia Community Alliance

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ACACIA COMMUNITY ALLIANCE

Practice address

1115 Rock Creek Dr
Wyncote, PA 19095-2013

Phone

(267) 223-5016

NPI assigned

Jul 17, 2026

Organization subpart

No

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

Authorized official

Name

Marquita Atkinson

Title

Director

Phone

(267) 223-5016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1730009812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ROCK CREEK DR",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952013",
            "telephone_number": "267-223-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ROCK CREEK DR",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952013",
            "telephone_number": "267-223-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA COMMUNITY ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-223-5016"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.