Developmental Services of Sullivan County, Inc.

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

99560052 Issued in NH

Legal business name

DEVELOPMENTAL SERVICES OF SULLIVAN COUNTY, INC.

Practice address

654 Main Street
Claremont, NH 03743

Phone

(603) 542-8706

Fax

(603) 542-2729

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark G. Mills

Title

Chief Executive Officer

Phone

(603) 542-8706

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Pathways Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thea R Crawford, PT

  • Physical Therapist
  • Claremont, NH
  • NPI 1104578483
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1295957561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 MAIN STREET",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "03743",
            "telephone_number": "603-542-8706",
            "fax_number": "603-542-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 MAIN STREET",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "03743",
            "telephone_number": "603-542-8706",
            "fax_number": "603-542-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL SERVICES OF SULLIVAN COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "603-542-8706",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NH",
            "license": "99560052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30532133",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99560052",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60000002",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99590002",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99590022",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99560008",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pathways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Diane Danz, OTA, PTA
• Dartmouth-Hitchcock Clinic
• Swathi Dasari
• Deb Davidson
• Julie Rebecca Demars
• Shannon Marice Dion, B.A.
• Dionne Family Chiropractic, PLLC
• Joseph Paul Dionne, D.C.
• Donna Ann Douglas
• Dr. Robert Skinner DDS

• Child Intellectual and/or Developmental Disabilities Respite Care in Claremont, NH
• Providers in Claremont, NH by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.