Cisco Center Foundation, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

161882 Issued in MD

Legal business name

CISCO CENTER FOUNDATION, INC.

Practice address

350 Baltimore Annapolis Blvd
Severna Park, MD 21146-1370

Phone

(410) 647-1503

NPI assigned

Nov 7, 2014

Organization subpart

No

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

Authorized official

Name

Cisco Nochera, MS ED

Title

Executive Director

Phone

(410) 647-1503

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Nochera

  • Speech-Language Pathologist
  • Severna Park, MD
  • NPI 1962895011
  NPD (past)
• Francis Nochera IV

  • Speech-Language Pathologist
  • Severna Park, MD
  • NPI 1124432224
  NPD (past)

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1982000626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BALTIMORE ANNAPOLIS BLVD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461370",
            "telephone_number": "410-647-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BALTIMORE ANNAPOLIS BLVD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461370",
            "telephone_number": "410-647-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CISCO CENTER FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "NOCHERA",
        "authorized_official_first_name": "CISCO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-647-1503",
        "authorized_official_credential": "MS ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MD",
            "license": "161882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDCARE LICENSE",
            "identifier": "161882",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chesapeake Physical Aquatic Therapy Inc
• Cheskis, Hooper, Schatz, Russell & Assc., LLC
• Richard Yale Cheskis, DDS
• Childrens Speech and Language Center
• Alyssa Marie Whitman Christiano
• Alison Clark, RBT
• Haley Ann Clark, LCMFT
• Courtney Nicole Clarke, DPT
• Tana L Clarke, PHD
• Taylor Clayton, RBT

• Early Intervention Provider Agency in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Early Intervention Provider Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.