Active NPI
The Children's Learning Center
- Clinic/Center
- Jackson, WY
National Provider Identifier
1851422745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- THE CHILDREN'S LEARNING CENTER
- Practice address
- 3105 W Big Trail Dr
Jackson, WY 83001-9296 - Phone
- (307) 733-3791
- NPI assigned
- Mar 9, 2007
- Last updated
- Sep 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Davey Hough
- Title
- Special Education Director
- Phone
- (307) 733-3791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
3105 W Big Trail Dr
Jackson, WY 83001-9296
Mailing address
PO Box 4100
Jackson, WY 83001-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100155800 | Medicaid | WY |
National Provider Directory
National Provider Directory- Tax ID family
- Children's Learning Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Jackson, WY
- NPI 1689957946
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Jackson, WY
- NPI 1194537563
-
- Speech-Language Pathologist
- Jackson, WY
- NPI 1366503559
-
- Occupational Therapist
- Jackson, WY
- NPI 1598825572
-
- Speech-Language Pathologist
- Jackson, WY
- NPI 1699835066
-
- Clinical Social Worker
- Driggs, ID
- NPI 1003265521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473120000000",
"number": "1851422745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4100",
"city": "JACKSON",
"state": "WY",
"postal_code": "830014100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 W BIG TRAIL DR",
"city": "JACKSON",
"state": "WY",
"postal_code": "830019296",
"telephone_number": "307-733-3791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CHILDREN'S LEARNING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2016-09-06",
"status": "A",
"authorized_official_last_name": "HOUGH",
"authorized_official_first_name": "DAVEY",
"authorized_official_title_or_position": "SPECIAL EDUCATION DIRECTOR",
"authorized_official_telephone_number": "307-733-3791"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100155800",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.