NPIMap

Organization Active NPI

Carl David Richardson Foundation, Inc.

  • Early Intervention Provider Agency
  • Springfield Gardens, NY
National Provider Identifier
1881152932
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CARL DAVID RICHARDSON FOUNDATION, INC.
Practice address
14556 229TH St
Springfield Gardens, NY 11413-3923
Phone
(800) 313-7591
Fax
(718) 949-6315
NPI assigned
Mar 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
Mrs. Johann Andria RichardsonNPI 1770839011
Title
Executive Director
Phone
(800) 313-7591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

14556 229TH St
Springfield Gardens, NY 11413-3923

Mailing address

14556 229TH St
Springfield Gardens, NY 11413-3923
Phone (800) 313-7591

Other identifiers 2

IdentifierTypeStateIssuer
45-86-41MedicaidNY
1770839011MedicaidNY

Other names 1

  • CDR Foundation Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1881152932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14556 229TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133923",
            "telephone_number": "800-313-7591",
            "fax_number": "718-949-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14556 229TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133923",
            "telephone_number": "800-313-7591",
            "fax_number": "718-949-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL DAVID RICHARDSON FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JOHANN",
        "authorized_official_middle_name": "ANDRIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-313-7591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45-86-41",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770839011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDR Foundation Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CDR Foundation Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.