CHILDREN'S DEVELOPMENT CENTER, INC. (NPI# 1730212325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730212325 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DEVELOPMENT CENTER, INC. |
| Practice Address |
1815 Schafer St Ste 202 Bismarck ND 58501-1217 |
| Mailing Address |
Po Box 2536 Bismarck ND 58502-2536 |
| Practice Telephone | 7012239083 |
| Practice Fax Number | 7013239945 |
| Mailing Telephone | 7012239083 |
| Mailing Fax Number | 7013239945 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | ANNE COFFEY BRY (PRESIDENT) |
| Authorized Official Telephone | 7012239083 |
| Authorized Official Credential | MS, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
376 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 55053 | 05 | |
| ND | 59160 | 05 | |
| ND | BLUE CROSS BLUE SHIELD | 027311 | 01 |
| ND | 51207 | 05 | |
| ND | BLUE CROSS BLUE SHIELD | 599001 | 01 |
| ND | BLUE CROSS BLUE SHIELD | 25799 | 01 |
| ND | 7770280 | 05 | |
| ND | 59243 | 05 | |
| ND | BLUE CROSS BLUE SHIELD | 027312 | 01 |
| ND | BLUE CROSS BLUE SHIELD | 12168 | 01 |
| Street Address |
1815 SCHAFER ST STE 202 |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952506495 | Casey Benning | Occupational Therapist | 1815 Schafer St, Ste 202, Bismarck, ND 58501-1217 | 2007-06-15 |
| 1801090410 | Anne Bry | Speech-Language Pathologist | 1815 Schafer St, Ste 202, Bismarck, ND 58501-1217 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205293537 | Jmb Services Inc | Clinic/Center | 1911 N 11th St, Bismarck, ND 58501-1915 | 2016-01-17 |
| 1336454438 | Susan Delap, Md, Professional Corporation | Clinic/Center | 4023 State St, Suite 100, Bismarck, ND 58503-0690 | 2010-08-12 |
| 1356398275 | West Central Human Service Center | Clinic/Center | 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1208 | 2006-05-27 |
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| 1457521155 | Tri City Cares, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
| 1821268517 | Tri City Care, Inc | Clinic/Center | 723 1st St Sw, Stanley, ND 58784 | 2008-03-10 |
| 1669642369 | Tri City Cares, Inc | Clinic/Center | 415 7th Ave Se, Stanley, ND 58784 | 2008-03-10 |
| 1982800959 | Tri City Cares, Inc. | Clinic/Center | 15 1st Street Se, Stanley, ND 58784 | 2007-06-26 |
| 1194778944 | South Central Human Service Center | Clinic/Center | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2006-05-19 |
| 1245284850 | Southeast Human Service Center | Clinic/Center | 2624 9th Ave S, Fargo, ND 58103-2350 | 2006-05-19 |
| 1902076607 | Tri City Care, Inc | Clinic/Center | 15 1st Ave Se, Stanley, ND 58784-9998 | 2008-03-10 |
| 1285804906 | Tri City Care, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
| 1093985798 | Tri City Cares, Inc | Clinic/Center | 15 1st Ave Se, Stanley, ND 58784-9998 | 2008-03-10 |
| 1750551578 | Tri City Care, Inc | Clinic/Center | 15 1st Ave Se, Stanley, ND 58784-9998 | 2008-03-07 |
| Find all providers with the same taxonomy | ||||
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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.