The Matthew Reardon Center Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

THE MATTHEW REARDON CENTER INC.

Practice address

11500 Middleground Rd
Savannah, GA 31419

Phone

(912) 355-9098

Fax

(912) 352-2460

NPI assigned

Aug 31, 2017

Organization subpart

No

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

Authorized official

Name

Patti Victor

Title

President/Ceo

Phone

(912) 355-9098

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• The Matthew Reardon Center Inc Former legal business name
• The Matthew Reardon Center of Autism Other name

Locations

Practitioners 1

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

• John P O'Connor

  • Behavior Analyst
  • Savannah, GA
  • NPI 1902237423
  NPD

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1346768181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 MIDDLEGROUND RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191222",
            "telephone_number": "912-355-9098",
            "fax_number": "912-352-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 MIDDLEGROUND RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-355-9098",
            "fax_number": "912-352-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MATTHEW REARDON CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "912-355-9098"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003162174A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Matthew Reardon Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "The Matthew Reardon Center of Autism",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Developmental Disabilities Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Developmental Disabilities Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.