Organization Active NPI

Center for Developmental Disabilities of Pike County

  • Early Intervention Provider Agency
  • Milford, PA
National Provider Identifier
1134308570
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
243890 Issued in PA
Legal business name
CENTER FOR DEVELOPMENTAL DISABILITIES OF PIKE COUNTY
Practice address
101 Pocono Drvie
Suite 2
Milford, PA 18337-9408
Phone
(570) 296-3992
Fax
(570) 296-4919
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Ms. Jo Ann Donnelly
Title
Director
Phone
(570) 296-3992

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Early Intervention Provider Agency 252Y00000X 243890 PA Primary

Addresses

Primary practice location

101 Pocono Drvie
Suite 2
Milford, PA 18337-9408

Mailing address

101 Pocono Dr
Suite 2
Milford, PA 18337-9408
Phone (570) 296-3992

National Provider Directory

National Provider Directory

Locations

101 Pocono Dr
Ste 2
Milford, PA 18337
Phone (570) 296-3992

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": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1134308570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 POCONO DR",
            "address_2": "SUITE 2",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379408",
            "telephone_number": "570-296-3992",
            "fax_number": "570-296-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 POCONO DRVIE",
            "address_2": "SUITE 2",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379408",
            "telephone_number": "570-296-3992",
            "fax_number": "570-296-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DEVELOPMENTAL DISABILITIES OF PIKE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-296-3992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "243890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.