Organization Active NPI

Gaea Autism Inc.

  • Specialist
  • Staten Island, NY
National Provider Identifier
1972925212
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GAEA AUTISM INC.
Practice address
226 Wheeler Ave
Staten Island, NY 10314-5112
Phone
(646) 372-7073
NPI assigned
Jan 6, 2014
Last updated
Jan 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Rachel Anne Lunden-Carter, MS SPED
Title
Chief Executive Officer
Phone
(646) 372-7073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

226 Wheeler Ave
Staten Island, NY 10314-5112

Mailing address

226 Wheeler Ave
Staten Island, NY 10314-5112
Phone (646) 372-7073

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1972925212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 WHEELER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145112",
            "telephone_number": "646-372-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 WHEELER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145112",
            "telephone_number": "646-372-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAEA AUTISM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "LUNDEN-CARTER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "646-372-7073",
        "authorized_official_credential": "MS SPED"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.