Project Chilld LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

3288 Issued in MA

Legal business name

PROJECT CHILLD LLC

Practice address

500 Cummings Ctr
Suite 3850
Beverly, MA 01915-6142

Phone

(978) 232-0332

Fax

(978) 232-1103

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Kathleen A Carley, MSOTR/L

Title

Executive Director

Phone

(978) 232-0332

Specialties & licenses 1

Addresses

Tax ID family

Project Chilld LLC2 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.

• Project Chilld LLC

  • Occupational Therapist
  • Beverly, MA
  • NPI 1366598310
  NPD tax ID

Locations

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1124350079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CTR",
            "address_2": "SUITE 3850",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156142",
            "telephone_number": "978-232-0332",
            "fax_number": "978-232-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CTR",
            "address_2": "SUITE 3850",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156142",
            "telephone_number": "978-232-0332",
            "fax_number": "978-232-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT CHILLD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "CARLEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-232-0332",
        "authorized_official_credential": "MSOTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "3288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ruth Prentiss, MSN, APRN, CNM
• Amrou Presume, OTD,OTR/L
• Donna Rose Prezzano, LICSW
• Julie Marie Procacini
• Mathew Procopio, DPT, PT
• Project Chilld LLC
• Prosperity Health Inc
• Prosthodontics, P.C.
• Emily Provost
• Rebecca Marie Pudvah, PT, CSCS, EMTB

• Specialist in Beverly, MA
• Providers in Beverly, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.