PEDIATRIC DEVELOPMENT CENTER (NPI# 1962579151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962579151 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DEVELOPMENT CENTER |
| Practice Address |
388 Columbus Ave Pittsfield MA 01201-4903 |
| Practice Telephone | 4134994537 |
| Practice Fax Number | 4134488223 |
| Mailing Telephone | 4134994537 |
| Mailing Fax Number | 4134488223 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MAUREEN ATWOOD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4134994537 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | 356074 | MA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1800701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720173321 | Pediatric Development Center | Social Worker | 12 Westbrook Cmn, Westbrook, ME 04092 | 2006-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PEDIATRIC DEVELOPMENT CENTER, INC. | 388 Columbus Ave. Ext., Pittsfield, MA 01201 |
| Street Address |
388 COLUMBUS AVE |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898806 | Shana Kate Sullivan | Developmental Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2020-10-13 |
| 1578104873 | Susan Strickler Garrison | Developmental Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2019-10-08 |
| 1093370702 | Teva Ariel O'rourke | Developmental Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2019-05-08 |
| 1932676517 | Megan Elizabeth Codini | Occupational Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2018-10-31 |
| 1770058331 | Maeve Denning | Occupational Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2018-10-10 |
| 1114409265 | Sandra Monica Simoes Seefeldt | Counselor | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2018-09-05 |
| 1043708647 | Fiona Catherine Tozer-hayes | Developmental Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2018-04-29 |
| 1588175293 | Kelsy Pero | Speech-Language Pathologist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2017-10-20 |
| 1366985442 | Lori Bohin | Developmental Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2016-11-22 |
| 1831542810 | Rachel Laurin Konowitch | Psychologist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2016-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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|---|---|---|---|---|
| 1760521744 | Adlib Center for Independent Living | Voluntary or Charitable | 215 North St, Pittsfield, MA 01201-4610 | 2007-02-06 |
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| 1124481551 | Daughters of Saint Paul | Voluntary or Charitable | 50 Saint Pauls Ave, Jamaica Plain, MA 02130-3433 | 2016-04-02 |
| 1720466402 | Community Servings, Inc. | Voluntary or Charitable | 18 Marbury Ter, Jamaica Plain, MA 02130-4529 | 2015-05-13 |
| 1669878856 | Future Hope Apprenticeship Program, Inc./ Glt Prison Prevention, Inc. | Voluntary or Charitable | 101 Nightingale St, Boston, MA 02124-1705 | 2014-11-14 |
| 1073848370 | The Arc of Greater Haverhill-newburyport | Voluntary or Charitable | 57 Wingate St Ste 301, Haverhill, MA 01832-5759 | 2009-10-05 |
| 1467786715 | Northeast Emergency Medical Services, Inc. | Voluntary or Charitable | 20 Del Carmine St, Northeast Ems, Wakefield, MA 01880-3485 | 2009-09-18 |
| Find all providers with the same taxonomy | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.