Organization Active NPI

Chichi Therapeutic Services Inc

  • Early Intervention Provider Agency
  • Forest Hills, NY
National Provider Identifier
1831630599
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1114570 Issued in NY
Legal business name
CHICHI THERAPEUTIC SERVICES INC
Practice address
11821 Queens Blvd Ste 418
Forest Hills, NY 11375-7208
Phone
(646) 606-7288
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Mrs. Chinyelu Lily Fafowora, MSED
Title
President
Phone
(646) 606-7288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1114570 NY Primary

Addresses

Primary practice location

11821 Queens Blvd Ste 418
Forest Hills, NY 11375-7208

Mailing address

11821 Queens Blvd Ste 418
Forest Hills, NY 11375-7208
Phone (646) 606-7288

National Provider Directory

National Provider Directory

Locations

11821 Queens Blvd
Ste 418
Forest Hills, NY 11375
Phone (646) 606-7288

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1831630599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 QUEENS BLVD STE 418",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757208",
            "telephone_number": "646-606-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 QUEENS BLVD STE 418",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757208",
            "telephone_number": "646-606-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICHI THERAPEUTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "FAFOWORA",
        "authorized_official_first_name": "CHINYELU",
        "authorized_official_middle_name": "LILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-606-7288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1114570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.