Organization Active NPI

Child Development Assessment and Therapies

  • Community/Behavioral Health Agency
  • Fredericksburg, VA
National Provider Identifier
1275926776
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
23578 Issued in VA
Legal business name
CHILD DEVELOPMENT ASSESSMENT AND THERAPIES
Practice address
2217 Princess Anne St
204-1
Fredericksburg, VA 22401-3353
Phone
(540) 940-2858
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Ms. Janet Elizabeth Black, M. ED. , BCBA
Title
Director
Phone
(540) 842-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 23578 VA Primary

Addresses

Primary practice location

2217 Princess Anne St
204-1
Fredericksburg, VA 22401-3353

Mailing address

2217 Princess Anne Street Suite
204-1
Fredericksburg, VA 22401
Phone (540) 940-2858

National Provider Directory

National Provider Directory

Locations

2217 Princess Anne St
Ste 204-1
Fredericksburg, VA 22401
Phone (540) 940-2858

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": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1275926776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 PRINCESS ANNE STREET SUITE",
            "address_2": "204-1",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-940-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 PRINCESS ANNE ST",
            "address_2": "204-1",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013353",
            "telephone_number": "540-940-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD DEVELOPMENT ASSESSMENT AND THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-842-3331",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M. ED. , BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "23578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.