United Cerebral Palsy Association of the Tri-Counties, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UNITED CEREBRAL PALSY ASSOCIATION OF THE TRI-COUNTIES, INC.

Doing business as

Prospect Center

Practice address

133 Aviation Rd
Queensbury, NY 12804-8206

Phone

(518) 798-0170

Fax

(518) 743-0227

NPI assigned

Sep 26, 2006

Last updated

Oct 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim L. Heunemann

Title

Director of Community & Interagency

Phone

(518) 798-0170

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prospect Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Gary Owen Guilfoyle, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Ballston Spa, NY
  • NPI 1588645238
  Medicare reassignment NPD
• Bridget Lieberum, PT

  • Physical Therapist
  • Queensbury, NY
  • NPI 1528381985
  Medicare reassignment NPD
• Elizabeth McIntyre, MS CCC-SLP

  • Speech-Language Pathologist
  • Queensbury, NY
  • NPI 1174833362
  Medicare reassignment NPD
• Kristin Cavanagh, PT, DPT

  • Physical Therapist
  • Queensbury, NY
  • NPI 1689066334
  Medicare reassignment
• Linda Miller, PT

  • Physical Therapist
  • Latham, NY
  • NPI 1518110113
  Medicare reassignment

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1952402448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 AVIATION RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128048206",
            "telephone_number": "518-798-0170",
            "fax_number": "518-743-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 AVIATION RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128048206",
            "telephone_number": "518-798-0170",
            "fax_number": "518-743-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOCIATION OF THE TRI-COUNTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "HEUNEMANN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY & INTERAGENCY",
        "authorized_official_telephone_number": "518-798-0170"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00752456",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prospect Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa J Tubbs, RN
• Mary H Tyree, MS ED
• Stephanie Leigh Tyrer, COTA/L
• Susan Marie Tyrrell, CRPA
• United Cerebral Palsy Association of the Tri-Counties, Inc. (Prospect Child and Family Center)
• Upstate Applied Behavior Analysis Services PLLC
• Peter Joseph Valastro Jr., NP
• Tara A Vanburen, OTR/L
• Amanda Grace Vanderzee
• Mark R Vandien, RPA

• Clinic/Center in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.