NPIMap

Organization Active NPI

St. Mary'S Child Development Center, Inc

  • Case Management Agency
  • West Palm Beach, FL
National Provider Identifier
1356318323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ST. MARY'S CHILD DEVELOPMENT CENTER, INC
Practice address
5325 Greenwood Ave
Suite 201
West Palm Beach, FL 33407-2452
Phone
(561) 881-2822
Fax
(561) 881-0972
NPI assigned
Mar 8, 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
Dr. Theodore Wasserman, PH.D
Title
C.E.O.
Phone
(561) 882-6434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL Primary

Addresses

Primary practice location

5325 Greenwood Ave
Suite 201
West Palm Beach, FL 33407-2452

Mailing address

5325 Greenwood Ave
Suite 201
West Palm Beach, FL 33407-2452
Phone (561) 881-2822

Other names 1

  • Center for Child Development Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Child Development6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5325 Greenwood Ave
Ste 201
West Palm Beach, FL 33407
Phone (561) 422-9603

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356318323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 GREENWOOD AVE",
            "address_2": "SUITE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072452",
            "telephone_number": "561-881-2822",
            "fax_number": "561-881-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 GREENWOOD AVE",
            "address_2": "SUITE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072452",
            "telephone_number": "561-881-2822",
            "fax_number": "561-881-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S CHILD DEVELOPMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "561-882-6434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Child Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

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.