Organization Active NPI

Center for Developmental and Behavioral Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Chattanooga, TN
National Provider Identifier
1366785230
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
19907 Issued in TN
Legal business name
CENTER FOR DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
Practice address
6025 Lee Hwy
Ste. 447
Chattanooga, TN 37421-3099
Phone
(423) 490-1547
Fax
(423) 490-1197
NPI assigned
Mar 29, 2013
Last updated
Sep 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Ricardo F. Causo, MDNPI 1023052032
Title
Owner
Phone
(423) 490-1547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 19907 TN Primary

Addresses

Primary practice location

6025 Lee Hwy
Ste. 447
Chattanooga, TN 37421-3099

Mailing address

6025 Lee Hwy
Ste. 447
Chattanooga, TN 37421-3099
Phone (423) 490-1547

National Provider Directory

National Provider Directory

Locations

6025 Lee Hwy
Ste 447
Chattanooga, TN 37421
Phone (423) 490-1547

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1366785230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 LEE HWY",
            "address_2": "STE. 447",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213099",
            "telephone_number": "423-490-1547",
            "fax_number": "423-490-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 LEE HWY",
            "address_2": "STE. 447",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213099",
            "telephone_number": "423-490-1547",
            "fax_number": "423-490-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "CAUSO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-490-1547",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TN",
            "license": "19907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.