Organization Active NPI

Wonder Years Child Development

  • Pediatric Occupational Therapist
  • Pearl River, NY
National Provider Identifier
1184721466
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0105071 Issued in NY
Legal business name
WONDER YEARS CHILD DEVELOPMENT
Practice address
52 S Main St
Pearl River, NY 10965-2427
Phone
(845) 920-8622
Fax
(845) 920-8619
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deirdre A McGinnis, OTR/L
Title
Occupational Therapist
Phone
(845) 920-8622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 0105071 NY Primary

Addresses

Primary practice location

52 S Main St
Pearl River, NY 10965-2427

Mailing address

52 S Main St
Pearl River, NY 10965-2427
Phone (845) 920-8622

National Provider Directory

National Provider Directory
Tax ID family
Wonder Years Child Development2 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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184721466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 S MAIN ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652427",
            "telephone_number": "845-920-8622",
            "fax_number": "845-920-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 S MAIN ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652427",
            "telephone_number": "845-920-8622",
            "fax_number": "845-920-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER YEARS CHILD DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGINNIS",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "845-920-8622",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "0105071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.