PEDIATRIC DEVELOPMENT CENTER (NPI# 1720173321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720173321 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DEVELOPMENT CENTER |
| Practice Address |
12 Westbrook Cmn Westbrook ME 04092 |
| Mailing Address |
125 Presumpscot St. Portland ME 04103 |
| Practice Telephone | 2075917210 |
| Practice Fax Number | 2075917213 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | JILLIAN R O'BRIEN (OWNER) |
| Authorized Official Telephone | 2075917210 |
| Authorized Official Credential | OTRL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 128690000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 Presumpscot St., Portland, ME 04103 | 2076995531 | 2076995529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962579151 | Pediatric Development Center | Voluntary or Charitable | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2006-11-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PEDIATRIC DEVELOPMENT CENTER, INC. | 388 Columbus Ave. Ext., Pittsfield, MA 01201 |
| Street Address |
12 WESTBROOK CMN |
| City | WESTBROOK |
| State | ME |
| Zip Code | 04092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952418709 | Carol Maynard Larson | Counselor | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2006-08-25 |
| 1124633649 | Hannah Nicole Reidman | Occupational Therapist | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2020-09-11 |
| 1376198127 | Hillary Elizabeth Hough Anderson | Occupational Therapy Assistant | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2019-08-08 |
| 1063983047 | Lindsay Ortiz | Occupational Therapist | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2018-12-17 |
| 1689105157 | Cassandra Clark | Occupational Therapist | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2017-03-25 |
| 1164889747 | Lillian J. Shields | Social Worker | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2016-01-27 |
| 1245605047 | Alyssa Rand Nile | Social Worker | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2015-12-04 |
| 1316321656 | Jessica Shavon Pao | Social Worker | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2015-07-16 |
| 1225412612 | Tamela Ann Simmons | Counselor | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2015-07-15 |
| 1659793636 | Ariel E. Kollangi | Counselor | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2014-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
| 1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
| 1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
| 1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
| 1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
| 1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
| 1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
| 1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
| Find all providers in zip 04092 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104486182 | Maria Severino Foster | Occupational Therapist | 26 Stillwater Dr Unit 16, Westbrook, ME 04092-2468 | 2019-06-20 |
| 1588169726 | Leah C Weaver | Occupational Therapist | 539 Brook St, Westbrook, ME 04092-3661 | 2018-03-29 |
| 1790238970 | Andrea Matunas | Occupational Therapist | 16 Halls Rd, Westbrook, CT 06498-3555 | 2016-07-25 |
| 1124633649 | Hannah Nicole Reidman | Occupational Therapist | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2020-09-11 |
| 1093375024 | Heather Lynn Luongo | Occupational Therapist | 123 Andover Rd, Westbrook, ME 04092-3848 | 2019-06-20 |
| 1962062760 | Kathryn Ann Ward | Occupational Therapist | 123 Andover Rd, Westbrook, ME 04092-3848 | 2019-06-14 |
| 1437719234 | Kira Johanna Dancewicz | Occupational Therapist | 123 Andover Rd, Westbrook, ME 04092-3848 | 2019-06-14 |
| 1063983047 | Lindsay Ortiz | Occupational Therapist | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2018-12-17 |
| 1689105157 | Cassandra Clark | Occupational Therapist | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2017-03-25 |
| 1154868800 | Ellen Catherine Bell | Occupational Therapist | 123 Andover Rd, Westbrook, ME 04092-3848 | 2017-01-19 |
| Find all providers in WESTBROOK | ||||
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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.