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DR. CLARISSA JO MIDDLETON P.H.D. M.ED. NPI 1861136277


NPI Information

NPI: 1861136277
Provider Name: DR. CLARISSA JO MIDDLETON, P.H.D., M.ED.
Classification: Early Intervention Provider Agency - 252Y00000X
Entity Type: Individual
Address:
4040 PINNACLE WAY
HEPHZIBAH, GA
ZIP 30815
Phone: (863) 329-2510
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DR. Clarissa Jo Middleton, P.H.D., M.ED. is an early intervention provider agency in Hephzibah, GA. The provider is 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. DR. Clarissa Jo Middleton, P.H.D., M.ED. NPI is 1861136277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4040 PINNACLE WAY
HEPHZIBAH, GA
ZIP 30815-135
Phone: (863) 329-2510

The enumeration date for this NPI number is 4/21/2022 and was last updated on 4/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP1600XCounselorPastoralNo
2103K00000XBehavior AnalystNo
3171000000XMilitary Health Care ProviderNo
41744R1102XSpecialistResearch StudyNo
5251300000XLocal Education Agency (LEA)No
6251E00000XHome HealthNo
7251K00000XPublic Health or WelfareNo
8251S00000XCommunity/Behavioral HealthNo
9253Z00000XIn Home Supportive CareNo
10261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
11282J00000XReligious Nonmedical Health Care InstitutionNo
12372600000XAdult CompanionNo
13376J00000XHomemakerNo
14252Y00000XEarly Intervention Provider AgencyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.