NPIMap

Organization Active NPI

Rockwell Development Center, Inc.

  • Behavior Analyst
  • Mooresville, NC
National Provider Identifier
1417250978
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ROCKWELL DEVELOPMENT CENTER, INC.
Practice address
611 Presbyterian Rd
Mooresville, NC 28115-7771
Phone
(704) 987-2096
Fax
(704) 919-5590
NPI assigned
Dec 6, 2010
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Lynn Skidmore, RN
Title
Ceo
Phone
(704) 987-2096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

611 Presbyterian Rd
Mooresville, NC 28115-7771

Mailing address

120 Rockwell Loop
Mooresville, NC 28115-9741
Phone (704) 987-2096

Other identifiers 1

IdentifierTypeStateIssuer
5916588MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Rockwell Development Center Inc6 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.

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": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1417250978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ROCKWELL LOOP",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281159741",
            "telephone_number": "704-987-2096",
            "fax_number": "704-919-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 PRESBYTERIAN RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281157771",
            "telephone_number": "704-987-2096",
            "fax_number": "704-919-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWELL DEVELOPMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "SKIDMORE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-987-2096",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916588",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.