CENTER FOR DEVELOPMENTAL DIFFERENCES INC (NPI# 1609103936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609103936 |
| Entity Type | Organization |
| Organization Name | CENTER FOR DEVELOPMENTAL DIFFERENCES INC |
| Other Organization Name | CDD |
| Practice Address |
4000 Virginia Beach Blvd Suite 136 Virginia Beach VA 23452-1743 |
| Practice Telephone | 7574860585 |
| Mailing Telephone | 7574860585 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |
| Authorized Official Name | MS. JUDIT ROTH (OWNER) |
| Authorized Official Telephone | 7573520585 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XF0002X |
Occupational Therapist Specialization: Feeding, Eating & Swallowing |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235500000X | Specialist/Technologist | Speech, Language and Hearing Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| CDD | Doing Business As Name - Organization |
| Street Address |
4000 VIRGINIA BEACH BLVD SUITE 136 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447531066 | Joelle Mary Kelly | Physical Therapist | 2517 Raeford Ct, Virginia Beach, VA 23456-7619 | 2011-09-09 |
| 1942429873 | Mary Ann Peterson | Physical Therapist | 2117 General Booth Blvd, Virginia Beach, VA 23454-5803 | 2007-04-25 |
| 1699866376 | Wendy B. Jaffe | Physical Therapist | 2525 Inlynnview Rd, Virginia Beach, VA 23454-1846 | 2006-09-27 |
| 1386693372 | Virginia Anne May | Physical Therapist | 4560 South Blvd, Suite 310, Virginia Beach, VA 23452-1160 | 2006-05-08 |
| 1972003044 | Merrie Gabrielle Gray | Physical Therapist | 1413 Laskin Rd, Virginia Beach, VA 23451-6007 | 2018-02-15 |
| 1215437637 | Debora Mae Barnes | Physical Therapist | 1413 Laskin Rd, Virginia Beach, VA 23451-6007 | 2018-02-13 |
| 1639608375 | Cynthia Kays | Physical Therapist | 1413 Laskin Rd, Virginia Beach, VA 23451-6007 | 2017-06-07 |
| 1114479359 | Sarah Hanby | Physical Therapist | 1400 Fordham Dr, Virginia Beach, VA 23464-5368 | 2016-11-03 |
| 1083166888 | Christa Todd | Physical Therapist | 5604 Virginia Beach Blvd, Virginia Beach, VA 23462-5631 | 2016-10-27 |
| 1942648563 | Noelle Drakeford | Physical Therapist | 1400 Fordham Dr, Virginia Beach, VA 23464-5368 | 2013-06-05 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on CENTER FOR DEVELOPMENTAL DIFFERENCES INC.
| 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.