CHILD & FAMILY DEVELOPMENT (NPI# 1871697888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871697888 |
| Entity Type | Organization |
| Organization Name | CHILD & FAMILY DEVELOPMENT |
| Practice Address |
4012 Park Rd Suite 200 Charlotte NC 28209-2377 |
| Mailing Address |
4012 Park Road Suite 200 Charlotte NC 28209 |
| Practice Telephone | 7043324834 |
| Practice Fax Number | 7043729653 |
| Mailing Telephone | 7043324834 |
| Mailing Fax Number | 7043729653 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2011-05-26 |
| Authorized Official Name | MRS. PAM JONES (PRESIDENT) |
| Authorized Official Telephone | 7043324834 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
NC | Behavioral Health & Social Service Providers | |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 720103C | 05 |
| Street Address |
4012 PARK RD SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125085 | Child and Family Development | Speech-Language Pathologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2378 | 2006-02-24 |
| 1780182139 | Sarah Marie Hamilton | Occupational Therapist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2018-01-30 |
| 1902318728 | Kathleen Condon | Speech-Language Pathologist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2017-11-02 |
| 1457891335 | Cameron Blake Templeton | Physical Therapist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2017-02-27 |
| 1902356264 | Patricia S Dyer | Counselor | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2016-10-11 |
| 1093176349 | Ashley Costner Kies | Psychologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2016-03-15 |
| 1063898732 | Logan D Carter | Speech-Language Pathologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2015-08-05 |
| 1477969434 | Aleksandra Liss | Psychologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2014-07-10 |
| 1104255033 | Melissa Petcu | Occupational Therapist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2013-11-01 |
| 1669800991 | Meghan Davidson-palmer | Occupational Therapist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2013-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1508165986 | The G.l.u. Club, LLC | Psychologist | 9156 Eventine Ct, Charlotte, NC 28214-9323 | 2011-03-24 |
| 1639622491 | Ryan Michael Kelly | Psychologist | 8840 Blakeney Professional Dr, Suite 200, Charlotte, NC 28277-6718 | 2016-07-28 |
| 1861838492 | Easter Seals Ucp North Carolina & Virginia, Inc | Psychologist | 10150 Mallard Creek Rd, Suite 510, Charlotte, NC 28262-9708 | 2013-05-22 |
| 1164708228 | Shannon Kersey, Lpa | Psychologist | 4425 Randolph Rd, Suite 208, Charlotte, NC 28211-2351 | 2011-11-02 |
| 1134365497 | Theresa L. Gibson | Psychologist | 11111 Carmel Commons Blvd, Suite 220, Charlotte, NC 28226-5319 | 2008-12-16 |
| 1033354923 | Karen Shelton | Psychologist | 6025 Blakeney Park Dr, Suite 120, Charlotte, NC 28277-5703 | 2008-12-08 |
| 1427212323 | Christopher Joseph Vrabel | Psychologist | 10516 Park Rd, Charlotte, NC 28210-8405 | 2008-07-10 |
| 1386859429 | Nicolle Anderson | Psychologist | 1905 J N Pease Pl, Suite 104, Charlotte, NC 28262-4557 | 2007-05-11 |
| 1720190234 | Shannon Elizabeth Kersey | Psychologist | 4425 Randolph Rd, Suite 208, Charlotte, NC 28211-2351 | 2006-08-31 |
| Find all providers in CHARLOTTE | ||||
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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.