NPI Number: 1538944467
Health Care Provider/Practitioner: KIDZ EDUCATIONAL SERVICES SLP, OT, PT, LMSW, PSYCHOLOGY, AUDIOLOGY, PL
Information about “1538944467” NPI (KIDZ EDUCATIONAL SERVICES SLP, OT, PT, LMSW, PSYCHOLOGY, AUDIOLOGY, PL)
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<?xml version="1.0" encoding="UTF-8"?>
<Npi>
<NPI>
1538944467
</NPI>
<EntityType>
Organization
</EntityType>
<ReplacementNPI/>
<EIN/>
<IsSoleProprietor/>
<IsOrgSubpart>
N
</IsOrgSubpart>
<ParentOrgLBN/>
<ParentOrgTIN/>
<OrgName>
KIDZ EDUCATIONAL SERVICES SLP, OT, PT, LMSW, PSYCHOLOGY, AUDIOLOGY, PL
</OrgName>
<LastName/>
<FirstName/>
<MiddleName/>
<NamePrefix/>
<NameSuffix/>
<Credential/>
<OtherOrgName/>
<OtherOrgNameTypeCode/>
<OtherLastName/>
<OtherFirstName/>
<OtherMiddleName/>
<OtherNamePrefix/>
<OtherNameSuffix/>
<OtherCredential/>
<OtherLastNameTypeCode/>
<FirstLineMailingAddress>
1400 OLD COUNTRY RD
</FirstLineMailingAddress>
<SecondLineMailingAddress>
C103 - FAMILY OF KIDZ
</SecondLineMailingAddress>
<MailingAddressCityName>
WESTBURY
</MailingAddressCityName>
<MailingAddressStateName>
NY
</MailingAddressStateName>
<MailingAddressPostalCode>
11590
</MailingAddressPostalCode>
<MailingAddressCountryCode>
US
</MailingAddressCountryCode>
<MailingAddressTelephoneNumber>
516-521-9309
</MailingAddressTelephoneNumber>
<MailingAddressFaxNumber/>
<FirstLinePracticeLocationAddress>
1400 OLD COUNTRY RD
</FirstLinePracticeLocationAddress>
<SecondLinePracticeLocationAddress>
C103 - FAMILY OF KIDZ
</SecondLinePracticeLocationAddress>
<PracticeLocationAddressCityName>
WESTBURY
</PracticeLocationAddressCityName>
<PracticeLocationAddressStateName>
NY
</PracticeLocationAddressStateName>
<PracticeLocationAddressPostalCode>
11590
</PracticeLocationAddressPostalCode>
<PracticeLocationAddressCountryCode>
US
</PracticeLocationAddressCountryCode>
<PracticeLocationAddressTelephoneNumber>
516-521-9309
</PracticeLocationAddressTelephoneNumber>
<PracticeLocationAddressFaxNumber/>
<EnumerationDate>
08/29/2023
</EnumerationDate>
<LastUpdateDate>
08/29/2023
</LastUpdateDate>
<NPIDeactivationReasonCode/>
<NPIDeactivationReason/>
<NPIDeactivationDate/>
<NPIReactivationDate/>
<GenderCode/>
<Gender/>
<AuthorizedOfficialLastName>
CALTABIANO
</AuthorizedOfficialLastName>
<AuthorizedOfficialFirstName>
LEONARD
</AuthorizedOfficialFirstName>
<AuthorizedOfficialMiddleName>
FRED
</AuthorizedOfficialMiddleName>
<AuthorizedOfficialTitle>
CHIEF EXECUTIVE OFFICER
</AuthorizedOfficialTitle>
<AuthorizedOfficialNamePrefix>
DR.
</AuthorizedOfficialNamePrefix>
<AuthorizedOfficialNameSuffix/>
<AuthorizedOfficialCredential>
PSYCHOLOGIST
</AuthorizedOfficialCredential>
<AuthorizedOfficialTelephoneNumber>
516-521-9309
</AuthorizedOfficialTelephoneNumber>
<Taxonomies>
<Taxonomy>
<TaxonomyCode>
103T00000X
</TaxonomyCode>
<TaxonomyName>
Psychologist
</TaxonomyName>
<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
Y
</PrimaryTaxonomySwitch>
</Taxonomy>
</Taxonomies>
<HealthcareProviderTaxonomyGroups>
<HealthcareProviderTaxonomyGroup>
<HealthcareProviderTaxonomyGroupName>
193200000X MULTI-SPECIALTY GROUP
</HealthcareProviderTaxonomyGroupName>
<HealthcareProviderTaxonomyGroupDescription>
Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
</HealthcareProviderTaxonomyGroupDescription>
</HealthcareProviderTaxonomyGroup>
</HealthcareProviderTaxonomyGroups>
</Npi>
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