Included

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

002353 Issued in NY

Legal business name

INCLUDED

Practice address

145 Cedarhurst Ave
Cedarhurst, NY 11516

Phone

(516) 368-8420

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Sheila Klein, MS,CCC-A

Title

Supervisor of Nassau County Service

Phone

(516) 368-8420

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1760790893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CEDARHURST AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162131",
            "telephone_number": "516-368-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CEDARHURST AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "11516",
            "telephone_number": "516-368-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUDED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "SUPERVISOR OF NASSAU COUNTY SERVICE",
        "authorized_official_telephone_number": "516-368-8420",
        "authorized_official_credential": "MS,CCC-A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "002353",
            "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 Sep 23, 2010; 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.