Language and Cognitive Development Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

LANGUAGE AND COGNITIVE DEVELOPMENT CENTER

Practice address

154 Wells Ave
Suite 5
Newton Center, MA 02459-3347

Phone

(617) 965-0045

NPI assigned

Nov 29, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ethan Barak Miller, BA,BS

Title

Manager (Operations)

Phone

(617) 921-8159

Specialties & licenses 1

Addresses

Other names 1

• LCDC Other name

Locations

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1023385556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WELLS AVE",
            "address_2": "SUITE 5",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024593347",
            "telephone_number": "617-965-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WELLS AVE",
            "address_2": "SUITE 5",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024593347",
            "telephone_number": "617-965-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGUAGE AND COGNITIVE DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "BARAK",
        "authorized_official_title_or_position": "MANAGER (OPERATIONS)",
        "authorized_official_telephone_number": "617-921-8159",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA,BS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LCDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathleen Nardella and Associates LLC
• Gillian Katz-Wies, M.D.
• Bernard A Katz, M.D.
• Glenn L Laffel, M.D.
• Ellen Lang, LICSW
• Leslie Lebowitz, PH.D.
• Alisa R Levine, ALISA LEVINE, PSY D
• Amy Lew
• Lifeologiegrbos LLC
• Matthew Francis Lopresti, D.O.

• Early Intervention Provider Agency in Newton Center, MA
• Providers in Newton Center, MA by specialty
• Early Intervention Provider Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.