NPIMap

Organization Active NPI

The Child Development Council

  • Early Intervention Provider Agency
  • Johnson City, NY
National Provider Identifier
1972748853
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
011716-1 Issued in NY
Legal business name
THE CHILD DEVELOPMENT COUNCIL
Practice address
24 Cherry St
Johnson City, NY 13790-2615
Phone
(607) 723-8313
Fax
(607) 723-6173
NPI assigned
Dec 8, 2008
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Mr. Darrell Newvine
Title
Executive Director
Phone
(607) 723-8313

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 004713-1 NY
Early Intervention Provider Agency 252Y00000X 006460-1 NY
Early Intervention Provider Agency 252Y00000X 017817-1 NY
Early Intervention Provider Agency 252Y00000X 018450-1 NY
Early Intervention Provider Agency 252Y00000X 006897-1 NY
Early Intervention Provider Agency 252Y00000X 011716-1 NY Primary

Addresses

Primary practice location

24 Cherry St
Johnson City, NY 13790-2615

Mailing address

24 Cherry Street
Johnson City, NY 13790-0997
Phone (607) 723-8313

National Provider Directory

National Provider Directory

Locations

24 Cherry St
Johnson City, NY 13790
Phone (607) 221-2035

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1972748853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CHERRY STREET",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137900997",
            "telephone_number": "607-723-8313",
            "fax_number": "607-723-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CHERRY ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902615",
            "telephone_number": "607-723-8313",
            "fax_number": "607-723-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILD DEVELOPMENT COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "NEWVINE",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-723-8313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "004713-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "006460-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "017817-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "018450-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "006897-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "011716-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.