Skills - Autism Therapy & Parent Enrichment

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SKILLS - AUTISM THERAPY & PARENT ENRICHMENT

Practice address

2499 Rice St Ste 145
Saint Paul, MN 55113-3700

Phone

(651) 482-0520

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Michael Fondungallah, ESQ

Title

Secretary

Phone

(651) 482-0520

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1962881219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 RICE ST STE 145",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551133700",
            "telephone_number": "651-482-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 RICE ST STE 145",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551133700",
            "telephone_number": "651-482-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS - AUTISM THERAPY & PARENT ENRICHMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "FONDUNGALLAH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "651-482-0520",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Starck Skeba, RD, LD, CPT
• Carol Skerbitz
• Julie Skiba, PA-C
• Steven C Skildum, MD
• Julianne Skillman, RD
• Skills for Tomorrow High School
• Alfred W Skinner, CRNA
• Harry Reynolds Skinner, DDS
• Skipped Parts LLC
• Michelle Lynn Sklader, RN, CRNA

• Early Intervention Provider Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.