St Vincent's Special Needs Center Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ST VINCENT'S SPECIAL NEEDS CENTER INC

Doing business as

St Vincent's Special Needs Services

Practice address

95 Merritt Blvd
Trumbull, CT 06611-5435

Phone

(203) 375-6400

Fax

(203) 380-1190

NPI assigned

Nov 27, 2013

Last updated

Nov 27, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

ST VICNENT'S MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Raymond G Baldwin Jr.

Title

President Ceo

Phone

(203) 386-2818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St Vincent's Special Needs Services Doing business as

Tax ID family

St Vincent's Special Needs Center Inc2 organizations share this tax ID, including this one

Part of

St Vincents Medical Ctr

Other organizations with this tax ID 1

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

• St. Vincent's Special Needs Center Inc

  dba St. Vincent's Special Needs Services

  • Audiologist
  • Trumbull, CT
  • NPI 1336295740
  NPD tax ID

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1730510876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MERRITT BLVD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115435",
            "telephone_number": "203-375-6400",
            "fax_number": "203-380-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MERRITT BLVD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115435",
            "telephone_number": "203-375-6400",
            "fax_number": "203-380-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT'S SPECIAL NEEDS CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST VICNENT'S MEDICAL CENTER",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "203-386-2818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004062683",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent's Special Needs Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig Spann, DPT
• Frank Spano, M.D.
• Lisa M Spicer, ANP-BC
• Springtide Child Development, Inc.
• Helena T Squicciarini, D.O.
• St. Joseph's Manor
• St. Vincent's Special Needs Center Inc (St. Vincent's Special Needs Services)
• St. Vincent's Special Needs Center, Inc. (St. Vincent's Special Needs Services)
• St. Vincents Urgent Care LLC
• Amy Stabinsky

• Early Intervention Provider Agency in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Early Intervention Provider Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.