JACK AND JILL DEVELOPMENTAL SERVICES (NPI# 1265780431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265780431 |
| Entity Type | Organization |
| Organization Name | JACK AND JILL DEVELOPMENTAL SERVICES |
| Practice Address |
17 N Main St Liberty NY 12754-1807 |
| Practice Telephone | 8452924134 |
| Practice Fax Number | 8452924134 |
| Mailing Telephone | 8452924134 |
| Mailing Fax Number | 8452924134 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |
| Authorized Official Name | DR. JEFFREY P JENSEN (PARTNER) |
| Authorized Official Telephone | 8452924134 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 8719 | NY | Agencies |
| Street Address |
17 N MAIN ST |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467873364 | Shannon Labagh-frunzi | Speech-Language Pathologist | 17 N Main St, Liberty, NY 12754-1807 | 2013-12-18 |
| 1609211549 | Emily R. Friedman | Case Manager/Care Coordinator | 17 N Main St, Liberty, NY 12754-1807 | 2013-05-06 |
| 1710322656 | Michelle G. Krause | Case Manager/Care Coordinator | 17 N Main St, Liberty, NY 12754-1807 | 2013-05-06 |
| 1821433756 | Michelle S. Mcpherson | Case Manager/Care Coordinator | 17 N Main St, Liberty, NY 12754-1807 | 2013-05-06 |
| 1649615568 | Kimberly A. Mcloughlin | Case Manager/Care Coordinator | 17 N Main St, Liberty, NY 12754-1807 | 2013-05-06 |
| 1700221637 | Christine M. Cavello | Case Manager/Care Coordinator | 17 N Main St, Liberty, NY 12754-1807 | 2013-05-06 |
| 1336482223 | Jack & Jill Developmental Services, Slp, Ot & Psychology, Pllp | Early Intervention Provider Agency | 17 N Main St, Liberty, NY 12754-1807 | 2013-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336482223 | Jack & Jill Developmental Services, Slp, Ot & Psychology, Pllp | Early Intervention Provider Agency | 17 N Main St, Liberty, NY 12754-1807 | 2013-03-29 |
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| 1669071320 | Deana Rinaldi Inc | Early Intervention Provider Agency | 2668 Ford St, Brooklyn, NY 11235-1307 | 2020-10-22 |
| 1508464256 | Rachel L Franchi | Early Intervention Provider Agency | 820 Drumgoole Rd W, Staten Island, NY 10312-1975 | 2020-10-14 |
| 1457959520 | Francesca Gentile-laygo | Early Intervention Provider Agency | 16 Van Buren St, Beacon, NY 12508-1523 | 2020-10-12 |
| 1124626403 | Lisa Whyeyeh Smith | Early Intervention Provider Agency | 6143 186th St Ste 436, Fresh Meadows, NY 11365-2710 | 2020-10-09 |
| 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.