Provider Demographics
NPI:1437378403
Name:CHESHIRE PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:CHESHIRE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR, SPEC. ED. TEACHER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-272-9108
Mailing Address - Street 1:1686 WATERBURY RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1331
Mailing Address - Country:US
Mailing Address - Phone:203-272-9108
Mailing Address - Fax:203-271-2554
Practice Address - Street 1:1686 WATERBURY RD
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-1331
Practice Address - Country:US
Practice Address - Phone:203-272-9108
Practice Address - Fax:203-271-2554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004186046Medicaid