PEDIATRIC DEVELOPMENTAL SERVICES (NPI# 1598373755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598373755 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DEVELOPMENTAL SERVICES |
| Practice Address |
2250 N Druid Hills Rd Ne Ste 265 Atlanta GA 30329-3141 |
| Mailing Address |
115 Sudbrook Ln Ste A Pikesville MD 21208-4184 |
| Practice Telephone | 4102204306 |
| Mailing Telephone | 4103581997 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | CHANA INDICH (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 4103581997 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE THERAPY SPOT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pediatric Developmental Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pediatric Developmental Services | 115 Sudbrook Ln., Ste A, Pikesville, MD 21208 |
| Street Address |
2250 N DRUID HILLS RD NE STE 265 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790307924 | Cryogen Plus LLC | Clinic/Center | 1039 Grant St Se Bldg A, Atlanta, GA 30315-2014 | 2020-05-11 |
| 1265082028 | Kmb Billing and Consulting | Clinic/Center | 2295 Parklake Dr Ne Ste 425, Atlanta, GA 30345-2812 | 2019-09-13 |
| 1194378745 | Georgia Therapy Clinic, LLC | Clinic/Center | 1800 Peachtree St Nw Ste 730, Atlanta, GA 30309-2511 | 2019-07-23 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1598000234 | Medical Wellness Group | Clinic/Center | 2015 Mlk Jr Drive, Atlanta, GA 30310 | 2012-12-06 |
| 1861788986 | Dynamic 1 Medical and Rehab Clinic | Clinic/Center | 2015 Martin Luther King Jr Drive Suite B, Atlanta, GA 30310 | 2011-06-27 |
| 1124333547 | Benchmark Healthcare Services LLC | Clinic/Center | 550 Peachtree St Ne Ste 1775, Atlanta, GA 30308-2264 | 2010-08-10 |
| 1851604375 | Independent Physical Therapy of Ga, LLC | Clinic/Center | 3200 Downwood Cir Nw Ste 380, Atlanta, GA 30327-1610 | 2010-07-26 |
| 1366595118 | Thacker & Thompson | Clinic/Center | 619 Rankin St Ne, Atlanta, GA 30308-2920 | 2007-01-18 |
| 1639289515 | Center for Medicine Endocrinology & Diabetes LLC | Clinic/Center | 5667 Peachtree Dunwoody Rd., Ste. 150, Atlanta, GA 30342 | 2006-08-30 |
| Find all providers in ATLANTA | ||||
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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.