Organization Active NPI

Child Development Specialists, LLC

  • Early Intervention Provider Agency
  • Boca Raton, FL
National Provider Identifier
1114501822
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CHILD DEVELOPMENT SPECIALISTS, LLC
Practice address
22309 Collington Dr
Boca Raton, FL 33428-4743
Phone
(954) 260-1699
NPI assigned
May 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Livia Costa de Mattos De PaulaNPI 1386790186
Title
MGR/Itds
Phone
(954) 260-1699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 222Q00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

22309 Collington Dr
Boca Raton, FL 33428-4743

Mailing address

22309 Collington Dr
Boca Raton, FL 33428-4743
Phone (954) 260-1699

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1114501822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22309 COLLINGTON DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284743",
            "telephone_number": "954-260-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22309 COLLINGTON DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284743",
            "telephone_number": "954-260-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD DEVELOPMENT SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "DE PAULA",
        "authorized_official_first_name": "LIVIA",
        "authorized_official_middle_name": "COSTA DE MATTOS",
        "authorized_official_title_or_position": "MGR/ITDS",
        "authorized_official_telephone_number": "954-260-1699"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.