NPIMap

Organization Active NPI

Child Development Services Search

  • Speech-Language Pathologist
  • Brunswick, ME
National Provider Identifier
1023244266
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHILD DEVELOPMENT SERVICES SEARCH
Practice address
35A Gurnet Road
Brunswick, ME 04011-2744
Phone
(207) 725-6365
Fax
(207) 725-4211
NPI assigned
Jun 2, 2009
Last updated
Jun 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Id Goscinski
Title
Director
Phone
(207) 725-6365

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT2948 ME
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

35A Gurnet Road
Brunswick, ME 04011-2744

Mailing address

35A Gurnet Road
Brunswick, ME 04011-2744
Phone (207) 725-6365

National Provider Directory

National Provider Directory

Locations

35A Gurnet Rd
Brunswick, ME 04011
Phone (207) 725-6365

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1023244266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35A GURNET ROAD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112744",
            "telephone_number": "207-725-6365",
            "fax_number": "207-725-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35A GURNET ROAD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112744",
            "telephone_number": "207-725-6365",
            "fax_number": "207-725-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD DEVELOPMENT SERVICES SEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "GOSCINSKI",
        "authorized_official_first_name": "ID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-725-6365"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ME",
            "license": "PT2948",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.