Organization Active NPI

Inclusion Family Services

  • Early Intervention Provider Agency
  • Freeport, NY
National Provider Identifier
1982152005
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
INCLUSION FAMILY SERVICES
Practice address
4 Tanglewood LN
Freeport, NY 11520-1323
Phone
(516) 312-9400
NPI assigned
Sep 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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

Authorized official

Name
Dr. Dadrene Anetta Hine-St.Hilaire, PHD LCSW-RNPI 1881618551
Title
Ceo
Phone
(516) 312-9400

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

4 Tanglewood LN
Freeport, NY 11520-1323

Mailing address

4 Tanglewood LN
Freeport, NY 11520-1323
Phone (516) 312-9400

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.

NPI Registry JSON

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

{
    "created_epoch": "1474156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1982152005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TANGLEWOOD LN",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201323",
            "telephone_number": "516-312-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TANGLEWOOD LN",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201323",
            "telephone_number": "516-312-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSION FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-18",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "HINE-ST.HILAIRE",
        "authorized_official_first_name": "DADRENE",
        "authorized_official_middle_name": "ANETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-312-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.