NPIMap

Organization Active NPI

Southeastern PA Autism Resource Center

  • Developmental Disabilities Clinic/Center
  • West Chester, PA
National Provider Identifier
1972789840
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
PS016022 Issued in PA
Legal business name
SOUTHEASTERN PA AUTISM RESOURCE CENTER
Practice address
1160 McDermott Dr
#214
West Chester, PA 19383-0001
Phone
(610) 430-5678
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Dr. Jennifer Dawson, PH.D.NPI 1053554923
Title
Clinical Director
Phone
(610) 430-5678

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
Developmental Disabilities Clinic/Center 261QD1600X PS016022 PA Primary

Addresses

Primary practice location

1160 McDermott Dr
#214
West Chester, PA 19383-0001

Mailing address

1160 McDermott Dr
#214
West Chester, PA 19383-0001
Phone (610) 430-5678

National Provider Directory

National Provider Directory

Locations

1160 McDermott Dr
#214
West Chester, PA 19380
Phone (610) 430-5678

Practitioners & affiliated clinicians

Practitioners 4

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1972789840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 MCDERMOTT DR",
            "address_2": "#214",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193830001",
            "telephone_number": "610-430-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 MCDERMOTT DR",
            "address_2": "#214",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193830001",
            "telephone_number": "610-430-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN PA AUTISM RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "610-430-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "PA",
            "license": "PS016022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.