NPIMap

Organization Active NPI

Anderson Center for Autism

  • Intellectual Disabilities Intermediate Care Facility
  • Staatsburg, NY
National Provider Identifier
1750438586
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7118440 Issued in NY
Legal business name
ANDERSON CENTER FOR AUTISM
Practice address
4885 Route 9
Staatsburg, NY 12580
Phone
(845) 889-4034
Fax
(845) 889-4623
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tina Chirico
Title
Chief Financial Officer
Phone
(845) 889-4034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7118440 NY Primary

Addresses

Primary practice location

4885 Route 9
Staatsburg, NY 12580

Mailing address

PO Box 367
Staatsburg, NY 12580-0367
Phone (845) 889-4034

Other identifiers 1

IdentifierTypeStateIssuer
01032677MedicaidNY

Other names 1

  • ANDERSON SCHOOL Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Anderson Center for Autism2 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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750438586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "STAATSBURG",
            "state": "NY",
            "postal_code": "125800367",
            "telephone_number": "845-889-4034",
            "fax_number": "845-889-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 ROUTE 9",
            "city": "STAATSBURG",
            "state": "NY",
            "postal_code": "12580",
            "telephone_number": "845-889-4034",
            "fax_number": "845-889-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CENTER FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIRICO",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "845-889-4034",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "7118440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01032677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDERSON SCHOOL",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Staatsburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.