CHILD DEVELOPMENT CENTER (NPI# 1669642393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669642393 |
| Entity Type | Organization |
| Organization Name | CHILD DEVELOPMENT CENTER |
| Practice Address |
3335 Lt Moss Road Missoula MT 59804-7209 |
| Practice Telephone | 4065496413 |
| Practice Fax Number | 4065420143 |
| Mailing Telephone | 4065496413 |
| Mailing Fax Number | 4065420143 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | CAROLYN PRUSSEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4065496413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 252Y00000X | Early Intervention Provider Agency | MT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1750422978 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILD DEVELOPMENT CENTER | 8080 O St, Lincoln, NE 68510 |
| System for Award Management (SAM) Entities | CHILD DEVELOPMENT CENTER - REGION II | 345 South Linden Ave, Sheridan, WY 82801-4709 |
| System for Award Management (SAM) Entities | CHILD DEVELOPMENT CENTER INC | 405 Computer Loop, Montgomery, AL 36114 |
| Indiana Business Entities | CHILD DEVELOPMENT CENTER LLC | 1700 Mishawaka Avenue, Suite Ud120, South Bend, IN 46615 |
| Street Address |
3335 LT MOSS ROAD |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750422978 | Child Development Center, Inc | Case Manager/Care Coordinator | 3335 Lt Moss Road, Missoula, MT 59804-7209 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| 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. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932691193 | Big Sky Aba, LLC | Early Intervention Provider Agency | 1647 Shindig Dr Apt 303, Missoula, MT 59808-5497 | 2018-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346787413 | Family Outreach | Early Intervention Provider Agency | 641 Sampson St, Butte, MT 59701-3201 | 2017-01-26 |
| 1598100992 | Easterseals-goodwill Northern Rocky Mountain, Inc | Early Intervention Provider Agency | 2401 Montana Ave Ste 301, Billings, MT 59101-2375 | 2013-04-30 |
Please comment or provide details below to improve the information on CHILD DEVELOPMENT CENTER.
| 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.