TLC Kids Therapy, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

011216-1 Issued in NY

Legal business name

TLC KIDS THERAPY, INC.

Practice address

3270 Mark Alan Dr
Wantagh, NY 11793-1841

Phone

(516) 287-4419

NPI assigned

Feb 16, 2018

Organization subpart

No

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

Authorized official

Name

Mr. David Gouveia, OTR/L

Title

Occupational Therapist/Owner

Phone

(516) 345-8992

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1801396841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 MARK ALAN DR",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931841",
            "telephone_number": "516-287-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 MARK ALAN DR",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931841",
            "telephone_number": "516-287-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC KIDS THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "GOUVEIA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "516-345-8992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "011216-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The in-Home Psychotherapy Service of Greater Ny, LCSW, P.C.
• Jennifer Veronica Thomas, OD
• Joanne Thompson
• Jeanine Tinoco
• Wendy E Tirro, MSSA
• Debra Tommasulo, MSED
• Viviana Marcela Torres Rizo, DDS
• Kathy L Tota, LMHC
• Stephanie Towne
• Josephine Tramontana, LMFT

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.