Center for Child Development and Family Education

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

30293 Issued in AR

Legal business name

CENTER FOR CHILD DEVELOPMENT AND FAMILY EDUCATION

Practice address

2010 Chestnut St Ste H
Van Buren, AR 72956-5340

Phone

(479) 430-7603

Fax

(479) 430-7596

NPI assigned

Nov 29, 2017

Organization subpart

Yes

Parent organization

CENTER FOR CHILD DEVELOPMENT AND FAMILY EDUCATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary E Knight

Title

Office Administration

Phone

(479) 430-7603

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 1

• Center for Child Development & Family Ed VB Other name

Tax ID family

Center for Child Development and Family Education3 organizations share this tax ID, including this one

Part of

Center for Child Development and Family Education

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Child Development and Family Education

  • Rehabilitation Clinic/Center
  • Alma, AR
  • NPI 1316219074
  NPD tax ID
• Center for Child Development and Family Education

  • Clinic/Center
  • Alma, AR
  • NPI 1679852628
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1013421031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CHESTNUT ST STE H",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565340",
            "telephone_number": "479-430-7603",
            "fax_number": "479-430-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CHESTNUT ST STE H",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565340",
            "telephone_number": "479-430-7603",
            "fax_number": "479-430-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHILD DEVELOPMENT AND FAMILY EDUCATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR CHILD DEVELOPMENT AND FAMILY EDUCATION",
        "enumeration_date": "2017-11-29",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATION",
        "authorized_official_telephone_number": "479-430-7603"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "30293",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222348724",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225888742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Child Development & Family Ed VB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory Neal Cast, PHARM.D
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• Clinic/Center in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.