CHILD DEVELOPMENT NETWORK, LLC (NPI# 1023202389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023202389 |
| Entity Type | Organization |
| Organization Name | CHILD DEVELOPMENT NETWORK, LLC |
| Other Organization Name | CHILD DEVELOPMENT NETWORK |
| Practice Address |
76 Bedford St Ste 12 Lexington MA 02420-4640 |
| Practice Telephone | 7818616655 |
| Practice Fax Number | 7818616654 |
| Mailing Telephone | 7818616655 |
| Mailing Fax Number | 7818616654 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | DR. JANINE KORAHAIS STASIOR (OWNER) |
| Authorized Official Telephone | 7818616655 |
| Authorized Official Credential | PHD, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 6645 | MA | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 6653 | MA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | SG0044 | 01 |
| Other Name | Type Code |
|---|---|
| Child Development Network | Doing Business As Name - Organization |
| Street Address |
76 BEDFORD ST STE 12 |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02420-4640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851317291 | Janine Korahais Stasior | Clinical Neuropsychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2006-07-15 |
| 1740765254 | Nancy Page Kohlhepp | Social Worker | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2018-10-01 |
| 1568912525 | Sarah Backe | Clinical Neuropsychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2016-10-13 |
| 1275901522 | Marlene Major | Psychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2015-09-03 |
| 1629208202 | Jessica Wexler | Psychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2009-07-17 |
| 1750537403 | Stephanie M Power | Psychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2008-08-13 |
| 1902952658 | Child Development Network | Clinical Neuropsychologist | 76 Bedford St Ste 12, Lexington, MA 02420-4640 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958643 | Kristen Gargiulo | Physical Therapist | 57 Bedord Street, Ste 202, Lexington, MA 02420 | 2018-07-02 |
| 1902311616 | Lindsey Nicole Wilcox | Physical Therapist | 57 Bedford St Ste 202, Lexington, MA 02420 | 2017-12-05 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1235678178 | Rebecca Munini | Counselor | 76 Bedford Street, Suite 12, Office 1, Lexington, MA 02420 | 2017-02-13 |
| 1700332376 | Aretha Cohen | Speech-Language Pathologist | 840 Emerson Gardens Road, Excel Center, Lexington, MA 02420 | 2016-09-01 |
| 1710387915 | Niravkumar Patel | Internal Medicine | 4 Hadley Rd, Lexington, MA 02420 | 2014-08-26 |
| 1316368749 | Triad Adolescent Services | Counselor | 363 Mass Ave, Suite 204, Lexington, MA 02420 | 2014-01-03 |
| 1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
| 1780941914 | Varun Kapur | Surgery | 33 York St, Lexington, MA 02420 | 2012-04-12 |
| 1992091433 | Karolyn Mary Franz | Acupuncturist | 238 Bedford St Ste 5, Lexington, MA 02420 | 2011-06-23 |
| Find all providers in zip 02420 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655596 | Charity R. Goings | Speech-Language Pathologist | 101 Saluda Pointe Dr Unit 612, Lexington, SC 29072-7061 | 2020-10-02 |
| 1669084349 | Holly E Steiger | Speech-Language Pathologist | 110 Hartwell Ave # 350, Lexington, MA 02421-3118 | 2020-08-23 |
| 1477170769 | Lauren Elizabeth Shnowske | Speech-Language Pathologist | 740 S Limestone Suite B301, Lexington, KY 40536-0001 | 2020-07-02 |
| 1093331001 | Mackenzie Mize Usher | Speech-Language Pathologist | 3108 Majestic View Walk, Lexington, KY 40511-8882 | 2020-06-25 |
| 1609492883 | Lauren Hogue | Speech-Language Pathologist | 621 Green Ridge Ct, Lexington, KY 40517-1934 | 2020-06-23 |
| 1982220778 | Valerie Lane Swager | Speech-Language Pathologist | 487 Highway 378, Lexington, SC 29072-9177 | 2020-06-17 |
| 1508490038 | Inspire Speech and Feeding LLC | Speech-Language Pathologist | 114 N Church St, Lexington, SC 29072-2808 | 2020-02-24 |
| 1043858350 | Karen Small Boatwright | Speech-Language Pathologist | 1118 Old Cherokee Rd, Lexington, SC 29072-8142 | 2019-12-17 |
| 1699313106 | Ciera Mills | Speech-Language Pathologist | 993 Mason Headley Road, Easterseals Cardinal Hill, Lexington, KY 40504-2246 | 2019-12-16 |
| 1043856024 | Sydney Elise Colburn | Speech-Language Pathologist | Easterseals Cardinal Hill, 993 Manson Headley Road, Lexington, KY 40504-2246 | 2019-11-25 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on CHILD DEVELOPMENT NETWORK, LLC.
| 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.