CHEMUNG COUNTY EARLY INTERVENTION PROGRAM (NPI# 1053531202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053531202 |
| Entity Type | Organization |
| Organization Name | CHEMUNG COUNTY EARLY INTERVENTION PROGRAM |
| Practice Address |
425 Pennsylvania Ave Elmira NY 14904-1762 |
| Practice Telephone | 6077375569 |
| Practice Fax Number | 6077375480 |
| Mailing Telephone | 6077375569 |
| Mailing Fax Number | 6077375480 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | MRS. ANNE L JERNIGAN (EARLY INTERVENTION OFFICIAL) |
| Authorized Official Telephone | 6077375568 |
| Authorized Official Credential | M.S.CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01760521 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457571515 | Chemung County Early Intervention Program | Early Intervention Provider Agency | 425 Pennsylvania Ave, Elmira, NY 14904-1762 | 2007-04-30 |
| Street Address |
425 PENNSYLVANIA AVE |
| City | ELMIRA |
| State | NY |
| Zip Code | 14904-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821142878 | Chemung County Dept. of Social Services | Local Education Agency (LEA) | 425 Pennsylvania Ave, Elmira, NY 14904-1762 | 2007-01-23 |
| 1578995338 | Stacy Lee Kittner | Case Manager/Care Coordinator | 425 Pennsylvania Ave, Elmira, NY 14904-1762 | 2013-08-05 |
| 1336401827 | Marlene Reynolds | Case Management | 425 Pennsylvania Ave, Elmira, NY 14904-1762 | 2012-06-12 |
| 1386906097 | Kelly M Sidari | Case Manager/Care Coordinator | 425 Pennsylvania Ave, Elmira, NY 14904-1762 | 2012-06-09 |
| 1679883961 | Thomas R Mitchell Md PC | Community Health Worker | 425 Pennsylvania Ave, Elmira, NY 14904-1762 | 2010-10-20 |
| 1457571515 | Chemung County Early Intervention Program | Early Intervention Provider Agency | 425 Pennsylvania Ave, Elmira, NY 14904-1762 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150987 | Amanda Denicola | Physician Assistant | 138 Broadway Street, Elmira, NY 14904 | 2018-10-16 |
| 1649501743 | Rose Marie Horch | Licensed Practical Nurse | 1198 Maple Ave., C-7, Elmira, NY 14904 | 2010-01-29 |
| 1831164987 | Richard B Dunn | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-02-22 |
| 1407358989 | Sara Goodwin | Counselor | 310 Pennsylvania Ave, Elmira, NY 14904 | 2018-03-01 |
| 1841378965 | Richard B Dunn Dds PC | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1649358771 | Prakash Thuraisamy | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1205057270 | Gregory Schutrum | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-05-01 |
| 1861591109 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 209 Mount Zoar Street, Elmira, NY 14904-1231 | 2006-09-22 |
| 1760963557 | Caleb Mccaig | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2018-08-28 |
| 1497936157 | Mary Volino | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-11-21 |
| Find all providers in zip 14904 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013063361 | Elmira City School District | Local Education Agency (LEA) | 951 Hoffman St, Elmira, NY 14905-1715 | 2007-01-26 |
| 1821142878 | Chemung County Dept. of Social Services | Local Education Agency (LEA) | 425 Pennsylvania Ave, Elmira, NY 14904-1762 | 2007-01-23 |
| 1457628893 | Elmira City School District | Local Education Agency (LEA) | 309 W Thurston St, Elmira, NY 14901-1124 | 2011-11-30 |
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|---|---|---|---|---|
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| 1205440468 | Cheryl Mindi Lachant | Local Education Agency (LEA) | 8 Elizabeth Ln, New Windsor, NY 12553-7202 | 2020-09-04 |
| 1114544228 | Rina Veras | Local Education Agency (LEA) | 2156 Cruger Ave Apt 5a, Bronx, NY 10462-1623 | 2020-07-06 |
| 1588288120 | You Can Thrive Foundation | Local Education Agency (LEA) | 535 W 23rd St Apt S8r, New York, NY 10011-1124 | 2020-05-29 |
| 1689207425 | Westchester Independent Living Center | Local Education Agency (LEA) | 1441 Route 22 Ste 204, Brewster, NY 10509-4358 | 2020-02-20 |
| 1710529201 | Marcia Joan Meshel | Local Education Agency (LEA) | 5809 246th Cres, Douglaston, NY 11362-2053 | 2019-10-16 |
| 1770130163 | Ching Ha Jenny Wu | Local Education Agency (LEA) | 6811 15th Ave, Brooklyn, NY 11219-6310 | 2019-08-21 |
| 1437704418 | Boquet Valley Central School | Local Education Agency (LEA) | 25 Sisco St, Westport, NY 12993 | 2019-08-06 |
| 1124672993 | Josh Pesin | Local Education Agency (LEA) | 239 Bay 34th St Apt 1e, Brooklyn, NY 11214-5896 | 2019-07-30 |
| 1649738261 | Innovative Lifestyle Solutions | Local Education Agency (LEA) | 2013 Chestnut St, North Baldwin, NY 11510-2539 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.