NPIMap

Organization Active NPI

Nicolette Komie and Associates

  • Early Intervention Provider Agency
  • Vernon Hills, IL
National Provider Identifier
1730578485
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
NICOLETTE KOMIE AND ASSOCIATES
Practice address
10 W Phillip Rd
Suite 103
Vernon Hills, IL 60061-1799
Phone
(847) 275-4115
Fax
(847) 868-9222
NPI assigned
Jan 19, 2015
Last updated
Jan 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Authorized official

Name
Nicolette KomieNPI 1679780035
Title
Developmental Therapist/Owner
Phone
(847) 275-4115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

10 W Phillip Rd
Suite 103
Vernon Hills, IL 60061-1799

Mailing address

10 W Phillip Rd
Suite 103
Vernon Hills, IL 60061-1799
Phone (847) 275-4115

National Provider Directory

National Provider Directory
Tax ID family
Dba- Nicolette Komie and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1730578485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD",
            "address_2": "SUITE 103",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611799",
            "telephone_number": "847-275-4115",
            "fax_number": "847-868-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD",
            "address_2": "SUITE 103",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611799",
            "telephone_number": "847-275-4115",
            "fax_number": "847-868-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLETTE KOMIE AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "KOMIE",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "847-275-4115"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.