The Village-Child & Family Development, Inc.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6919 Issued in MA

Legal business name

THE VILLAGE-CHILD & FAMILY DEVELOPMENT, INC.

Practice address

25 Adams St
Suite 104
Braintree, MA 02184-1911

Phone

(781) 269-2323

NPI assigned

Sep 12, 2011

Last updated

Oct 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cassandra Adelia Clark, MS, OTR/L

Title

Occupational Therapist/Owner

Phone

(781) 269-2323

Specialties & licenses 4

Addresses

Other identifiers 1

Tax ID family

The Village-Child Family Development Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• The Village-Child & Family Development, Inc

  • Pediatric Physical Therapist
  • Braintree, MA
  • NPI 1396097309
  NPD tax ID
• The Village-Child & Family Development, Inc

  • Speech-Language Pathologist
  • Braintree, MA
  • NPI 1538411715
  NPD tax ID

Locations

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1376825711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SHADE ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023681769",
            "telephone_number": "781-269-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ADAMS ST",
            "address_2": "SUITE 104",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021841911",
            "telephone_number": "781-269-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE-CHILD & FAMILY DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "ADELIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "781-269-2323",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "11745",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "6919",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "9522",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6606",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093137A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Orthotic and Prosthetic Centers, LLC (Hanger Clinic)
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #478)
• The Trinity Wellness Group LLC
• The Village-Child & Family Development, Inc
• The Village-Child & Family Development, Inc
• Thomas J Mone DMD PC
• Thomas Lamattina MD
• Alinda Thomas
• Holly M. Thomas, M.D.
• Kelly Ann Thomas

• Pediatric Occupational Therapist in Braintree, MA
• Providers in Braintree, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.