PEDIATRICE CENTER FOR DEVELOPMENTAL EXCELLENCE, LLC (NPI# 1629524327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629524327 |
| Entity Type | Organization |
| Organization Name | PEDIATRICE CENTER FOR DEVELOPMENTAL EXCELLENCE, LLC |
| Other Organization Name | PEDIATRIC BUILDING BLOCKS |
| Practice Address |
79 Estate Peter's Rest Suite 3.2 Christiansted VI 00820 |
| Mailing Address |
Po Box 159 Christiansted VI 00821-0159 |
| Practice Telephone | 3404737225 |
| Mailing Telephone | 3404737225 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-12 |
| Authorized Official Name | TREVENA MOORE (MEMBER) |
| Authorized Official Telephone | 6173062065 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2351041B | VI | Behavioral Health & Social Service Providers |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
1229 | VI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatric Building Blocks | Doing Business As Name - Organization |
| Street Address |
79 ESTATE PETER'S REST SUITE 3.2 |
| City | CHRISTIANSTED |
| State | VI |
| Zip Code | 00820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575610 | Family Medicine Associates & Consultants, Pllc | Family Medicine | Island Medical Center; Suite 301, 4500 Sunny Isle, Christiansted, VI 00820 | 2020-10-12 |
| 1013530294 | The Turning Point Senior Care LLC | In Home Supportive Care | 246-c Estate Glynn, Kingshill, VI 00820 | 2020-05-22 |
| 1871115956 | Nneka Igwemadu | Pharmacist | Sunny Isles Shopping Center, Unit 1, St.croix, VI 00820 | 2020-05-12 |
| 1639720428 | Jade Family Therapy | Clinic/Center | 2201 Church Street, Suite 16ab Second Floor, Christiansted, VI 00820 | 2019-09-24 |
| 1003467010 | Cody Matthew Rea | Physical Therapy Assistant | 4201 (201-202) Estate Ruby, Christianstead, VI 00820 | 2019-09-23 |
| 1639723943 | Peter W Stewart | Health Educator | 2d Estate Princess, Abc Building, Christiansted, VI 00820 | 2019-07-25 |
| 1013570308 | Hunter Garrison | Physical Therapist | 201 - 202 Estate Ruby, Christiansted, VI 00820 | 2019-04-22 |
| 1154882371 | Jessica Erin Carter | Physician Assistant | 4423 Queen Mary Hwy, Christiansted, VI 00820 | 2019-03-29 |
| 1023596418 | Camille Marise Paul | Physician Assistant | 4500 Sunny Isle, Ste. 9, Island Medical Center, Christiansted, VI 00820 | 2018-07-30 |
| 1245722669 | Berlina Wallace-berube | Counselor | 100b La Grande Princesse, Christiansted, VI 00820 | 2018-06-01 |
| Find all providers in zip 00820 | ||||
| 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. |
| City | CHRISTIANSTED |
| Zip Code | 00820 |
Please comment or provide details below to improve the information on PEDIATRICE CENTER FOR DEVELOPMENTAL EXCELLENCE, 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.