Child Pro

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

208888081 Issued in NY

Legal business name

CHILD PRO

Practice address

697 Ridge Rd
Lackawanna, NY 14218-1500

Phone

(716) 822-4781

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Elizabeth Allen, MSED.

Title

Special Education Teacher

Phone

(716) 646-1264

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1982967113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181500",
            "telephone_number": "716-822-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181500",
            "telephone_number": "716-822-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD PRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "716-646-1264",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSED."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "208888081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catholic Health System Program of All-Inclusive Care for the Elderly,
• Katie Cauley, PMHNP
• Sharon Cavanaugh
• Kevin Chapman Chapman
• Richard Robert Charlap Jr., D.D.S.
• Childpro of Western New York
• Jason Walter Ciano, DDS, MPH
• Gabriele A Clark, SLP
• Rachel Clark
• Jacara Coates

• Early Intervention Provider Agency in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.