NPIMap

Organization Active NPI

Child Development Services

  • Early Intervention Provider Agency
  • Augusta, ME
National Provider Identifier
1043537178
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
ME283716 Issued in ME
Legal business name
CHILD DEVELOPMENT SERVICES
Practice address
263 Water St
Suite 500
Augusta, ME 04330-4609
Phone
(207) 623-4989
Fax
(207) 622-9798
NPI assigned
Apr 29, 2010
Last updated
Apr 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Deborah G Dunn
Title
Director
Phone
(207) 623-4989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X ME283716 ME Primary

Addresses

Primary practice location

263 Water St
Suite 500
Augusta, ME 04330-4609

Mailing address

263 Water St
Suite 500
Augusta, ME 04330-4609
Phone (207) 623-4989

Other identifiers 1

IdentifierTypeStateIssuer
165660200MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Child Development Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1043537178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 WATER ST",
            "address_2": "SUITE 500",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304609",
            "telephone_number": "207-623-4989",
            "fax_number": "207-622-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 WATER ST",
            "address_2": "SUITE 500",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304609",
            "telephone_number": "207-623-4989",
            "fax_number": "207-622-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD DEVELOPMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-623-4989"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "ME",
            "license": "ME283716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165660200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.