OrganizationActive
Achieving Goals
NPI 1386055770 · Early Intervention Provider Agency · Centereach, NY
Provider details
- NPI number
- 1386055770
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lisa Groom, Special Educator(631) 983-7996
- License
- 1914670 (NY)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14 Firdale St
Centereach, NY 11720-4205
Phone: (631) 983-7996
Street-level locationGet directions
Mailing address
14 Firdale St
Centereach, NY 11720-4205
Registry dates
- Enumerated
- 2014-05-19
- Last updated
- 2014-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.