CHILD DEVELOPMENT CENTER, INC. (NPI# 1679619571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679619571 |
| Entity Type | Organization |
| Organization Name | CHILD DEVELOPMENT CENTER, INC. |
| Practice Address |
3802 Princess Place Dr Wilmington NC 28405-3226 |
| Practice Telephone | 9103434245 |
| Practice Fax Number | 9103434254 |
| Mailing Telephone | 9103434245 |
| Mailing Fax Number | 9103434254 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-02-07 |
| Authorized Official Name | MS. NANCY B. HADDOCK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9103434245 |
| Authorized Official Credential | RN,MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YS0200X |
Counselor Specialization: School |
8300128B | NC | Behavioral Health & Social Service Providers |
| N | 225100000X | Physical Therapist | 7270 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 9077 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 3496 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 1237 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 6530 | NC | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 4584 | NC | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 6881 | NC | Speech, Language and Hearing Service Providers |
| N | 251C00000X | Day Training, Developmentally Disabled Services | 65000539 | NC | Agencies |
| N | 251B00000X | Case Management | P003592 | NC | Agencies |
| Y | 251S00000X | Community/Behavioral Health | P003800 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7211807 | 05 | |
| NC | 8300128K | 05 | |
| NC | 8300128B | 05 |
| Street Address |
3802 PRINCESS PLACE DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28405-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952658361 | Mary Allen Jefferies | Speech-Language Pathologist | 3802 Princess Place Dr, Wilmington, NC 28405-3226 | 2012-08-06 |
| 1518134253 | Emily Jane Clontz | Speech-Language Pathologist | 3802 Princess Place Dr, Wilmington, NC 28405-3226 | 2008-05-12 |
| 1073795399 | Lydia Sexton Gaster | Speech-Language Pathologist | 3802 Princess Place Dr, Wilmington, NC 28405-3226 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
| 1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
| 1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
| 1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
| 1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| 1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
| 1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
| Find all providers in zip 28405 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307070 | Aviva Health Care Services Inc | Community/Behavioral Health | 6 Denny Rd Ste 104, Wilmington, DE 19809-3444 | 2020-08-19 |
| 1679192926 | Wraparound Maryland, Inc | Community/Behavioral Health | 105 Rogers Rd Ste A, Wilmington, DE 19801-5619 | 2020-04-15 |
| 1457983165 | Alapocas Collaborative Care, LLC | Community/Behavioral Health | 1601 Concord Pike Ste 66-68, Wilmington, DE 19803-3612 | 2020-02-11 |
| 1477011211 | M&l Prodigy Healthcare Inc | Community/Behavioral Health | 1 Jewel Dr, Wilmington, MA 01887-3385 | 2019-03-11 |
| 1457824369 | Ella Stanley Therapeutic Services, Inc. | Community/Behavioral Health | 1000 N West St Ste 1294, Wilmington, DE 19801-1050 | 2019-01-03 |
| 1134608136 | Alliance Behavioral Health | Community/Behavioral Health | 24505 S Avalon Blvd Apt 12, Wilmington, CA 90744-1068 | 2018-08-09 |
| 1063999688 | Tlc Operations, Inc | Community/Behavioral Health | 28 Beauregard Dr, Wilmington, NC 28412-6702 | 2018-07-26 |
| 1245752765 | Janelle G. Evans LLC | Community/Behavioral Health | 27 Tamarack Ave, Wilmington, DE 19805-5049 | 2017-07-17 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1356881551 | Jay's House, Inc | Community/Behavioral Health | 25 N Pennewell Dr, Wilmington, DE 19809-3313 | 2017-03-07 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28405 |
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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.