NPIMap

Organization Active NPI

The Childrens Center for Neurodevelopmental Studies

  • Early Intervention Provider Agency
  • Glendale, AZ
National Provider Identifier
1053577023
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
4184 Issued in AZ
Legal business name
THE CHILDRENS CENTER FOR NEURODEVELOPMENTAL STUDIES
Practice address
5430 W Glenn Dr
Glendale, AZ 85301-2628
Phone
(623) 915-0345
Fax
(623) 937-5425
NPI assigned
Jul 30, 2008
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Martina Musser
Title
Business Services
Phone
(623) 915-0345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 4184 AZ Primary

Addresses

Primary practice location

5430 W Glenn Dr
Glendale, AZ 85301-2628

Mailing address

5430 W Glenn Dr
Glendale, AZ 85301-2628
Phone (623) 915-0345

Other identifiers 1

IdentifierTypeStateIssuer
4184OtherAZSPECIALIST

National Provider Directory

National Provider Directory
Tax ID family
Center for Neurodevelopmental Studies2 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.

Locations

5430 W Glenn Dr
Glendale, AZ 85301
Phone (623) 238-9763

Practitioners & affiliated clinicians

Practitioners 10

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": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1053577023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 W GLENN DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012628",
            "telephone_number": "623-915-0345",
            "fax_number": "623-937-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 W GLENN DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012628",
            "telephone_number": "623-915-0345",
            "fax_number": "623-937-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDRENS CENTER FOR NEURODEVELOPMENTAL STUDIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "MUSSER",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "BUSINESS SERVICES",
        "authorized_official_telephone_number": "623-915-0345"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AZ",
            "license": "4184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST",
            "identifier": "4184",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.