Organization Active NPI

Tisbury School

  • Local Education Agency (LEA)
  • Vineyard Haven, MA
National Provider Identifier
1801919535
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
TISBURY SCHOOL
Practice address
4 Pine St
Vineyard Haven, MA 02568-6337
Phone
(508) 696-0156
Fax
(508) 693-3190
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Daniel T Seklecki
Title
Director of Student Support Service
Phone
(508) 693-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

4 Pine St
Vineyard Haven, MA 02568-6337

Mailing address

P.O. Box 878
Vineyard Haven, MA 02568
Phone (508) 696-6500

Other identifiers 1

IdentifierTypeStateIssuer
1951718MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Tisbury School2 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.

Locations

4 Pine St
Vineyard Haven, MA 02568
Phone (508) 696-0156

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1801919535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 878",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "02568",
            "telephone_number": "508-696-6500",
            "fax_number": "508-696-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PINE ST",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025686337",
            "telephone_number": "508-696-0156",
            "fax_number": "508-693-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISBURY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "SEKLECKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT SUPPORT SERVICE",
        "authorized_official_telephone_number": "508-693-2007"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951718",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard Haven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.