Organization Active NPI

Self -Assured Indeed Inc.

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1962227561
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SELF -ASSURED INDEED INC.
Practice address
869 Van Siclen Ave Apt 1J
Brooklyn, NY 11207-7800
Phone
(347) 623-8341
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Yezell P Moore, M.EDNPI 1700603677
Title
Special Education Teacher
Phone
(347) 623-8341

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 1

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

Addresses

Primary practice location

869 Van Siclen Ave Apt 1J
Brooklyn, NY 11207-7800

Mailing address

869 Van Siclen Ave Apt 1J
Brooklyn, NY 11207-7800
Phone (347) 623-8341

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1962227561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 VAN SICLEN AVE APT 1J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077800",
            "telephone_number": "347-623-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 VAN SICLEN AVE APT 1J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077800",
            "telephone_number": "347-623-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF -ASSURED INDEED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "YEZELL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "347-623-8341",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.