NPIMap

Organization Active NPI

Central Park Therapy, Inc.

  • Early Intervention Provider Agency
  • Melville, NY
National Provider Identifier
1851534036
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
216 Issued in NY
Legal business name
CENTRAL PARK THERAPY, INC.
Practice address
150 Broadhollow Rd
Suite 104
Melville, NY 11747-4905
Phone
(631) 549-6994
Fax
(631) 549-7203
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Cora Gross, OTR
Title
President
Phone
(631) 549-6994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 216 NY Primary

Addresses

Primary practice location

150 Broadhollow Rd
Suite 104
Melville, NY 11747-4905

Mailing address

150 Broadhollow Rd
Suite 104
Melville, NY 11747-4905
Phone (631) 549-6994

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1851534036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD",
            "address_2": "SUITE 104",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474905",
            "telephone_number": "631-549-6994",
            "fax_number": "631-549-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD",
            "address_2": "SUITE 104",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474905",
            "telephone_number": "631-549-6994",
            "fax_number": "631-549-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "CORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-549-6994",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.