CHILDREN MAKING STRIDES (NPI# 1588197958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588197958 |
Entity Type | Organization |
Organization Name | CHILDREN MAKING STRIDES |
Practice Address |
4 Barlows Landing Rd Suite 13 Pocasset MA 02559-1980 |
Practice Telephone | 5085635767 |
Mailing Telephone | 5085635767 |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |
Authorized Official Name | PATRICIA ANTONELLIS (PRESIDENT) |
Authorized Official Telephone | 5085635767 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922526656 | Children Making Strides | Occupational Therapist | 4 Barlows Landing Rd Ste 13, Pocasset, MA 02559-1984 | 2017-09-01 |
1255864617 | Children Making Strides | Speech-Language Pathologist | 4 Barlows Landing Rd, Suite 13, Pocasset, MA 02559-1980 | 2017-04-04 |
1497184089 | Children Making Strides | Community/Behavioral Health | 4 Barlows Landing Rd, Suite 13, Pocasset, MA 02559-1980 | 2013-11-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | CHILDREN MAKING STRIDES FOUNDATION CORPORATION | 4 Barlows Landing Rd, Suite 13, Pocasset, MA 02559 |
Massachusetts Corporations | CHILDREN MAKING STRIDES, LLC | 4 Barlows Landing Rd., Ste. 13, Pocasset, MA 02559 |
Street Address |
4 BARLOWS LANDING RD SUITE 13 |
City | POCASSET |
State | MA |
Zip Code | 02559-1980 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588779607 | Michael K Gavigan | Podiatrist | 4 Barlows Landing Rd, Suite #17, Pocasset, MA 02559-1980 | 2006-08-20 |
1366052250 | Lashauna Adams | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2020-08-05 |
1922622323 | Kenny Pacheco | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2020-06-01 |
1811521776 | Mikaela Brides | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2020-02-28 |
1235763194 | Dominique Alkhawande | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2020-02-28 |
1255965216 | Kerry Souza | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2020-02-28 |
1417429325 | Chloe Robertson | Behavioral Analyst | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2018-12-18 |
1740759117 | Jenna Durfee | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559 | 2018-11-15 |
1144799511 | Mayra Muniz | Behavior Technician | 4 Barlows Landing Rd, Pocasset, MA 02559-0255 | 2018-11-15 |
1144745225 | Meagan Maraccini | Behavior Technician | 4 Barlows Landing Rd, Suite 13, Pocasset, MA 02559 | 2017-08-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548725823 | Valerie Michelle Gudas | Optometrist | 17 Cove Road, #3023, Pocasset, MA 02559 | 2019-01-31 |
1942547849 | Suzanne Arielle North | Behavioral Analyst | 4 Barlow's Landing Rd, Suite 13, Pocasset, MA 02559 | 2013-01-11 |
1346557071 | Deborah Elaine Bainton | Social Worker | 820 County Road, Pocasset Mental Health Center, Pocasset, MA 02559 | 2010-09-01 |
1194041327 | Colleen Marie Richard | Behavioral Analyst | 4 Barlow's Landing Rd., Pocasset, MA 02559 | 2010-04-13 |
1164501425 | Tracy Lynn Murphy | Dentist | 41 C Barlows Landing Rd, Pocasset, MA 02559 | 2006-11-06 |
1659466050 | Richard Walter Fontaine | Nurse Practitioner | 830 County Road, Pocasset, MA 02559 | 2006-10-03 |
1992719488 | Valentine Robert Ferraris | Dentist | 580 Macarthur Blvd, Route 28, Pocasset, MA 02559 | 2006-07-28 |
1316495740 | Chieu Le | Registered Nurse | 830 County Rd, Pocasset, MA 02559 | 2016-09-14 |
1144472176 | Cosmetic & Family Dentistry Assoc., Inc | Dentist | 580 Macarthur Blvd, Pocasset, MA 02559 | 2008-10-22 |
1053645564 | Joseph Thomas Horgan Sr. | Internal Medicine | 95 Elgin Rd., Pocasset, MA 02559-0015 | 2009-09-30 |
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Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518455021 | Taylor K. Baker | Pediatrics | 12 Ridge Rd, Foxborough, MA 02035-1400 | 2018-04-30 |
1285018911 | Amel Alawami | Pediatrics | 800 Washington St # 334, Boston, MA 02111-1552 | 2015-07-13 |
1235541152 | Naomi Bloom Gershon | Pediatrics | 100 High St Ste 200, Westwood, MA 02090-1100 | 2014-05-27 |
1831225424 | Ramzi H Nasir | Pediatrics | Children's Hospital, Gen'l Pediatrics, 300 Longwood Ave., Boston, MA 02115 | 2007-02-26 |
1972667103 | Winifred B Parker | Pediatrics | 20 Lincoln Rd, Wayland, MA 01778-1302 | 2006-12-21 |
1083787634 | William Austin Haffner Sammons | Pediatrics | 84 Moorland St, Williamstown, MA 01267-2410 | 2006-11-15 |
1831284041 | Daniel Nussbaum II | Pediatrics | 5 Dover St, Suite 103, New Bedford, MA 02740-6258 | 2006-10-04 |
1962416461 | Dennis J Rosen | Pediatrics | 157 Columbia Drive, Amherst, MA 01002 | 2006-07-28 |
1417996273 | Laurel Kristin Leslie | Pediatrics | 800 Washington St # Mc345, Tufts Medical Center Floating Hospital for Children, Boston, MA 02111-1552 | 2006-06-06 |
1659328433 | Marcel Kinsbourne | Pediatrics | 158 Cambridge St, Winchester, MA 01890-2414 | 2006-05-27 |
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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.