Individual provider Active NPI

Jeremy Chartier

  • Developmental Therapist
  • Huntington Beach, CA
National Provider Identifier
1417296674
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
21752 Pacific Coast Hwy
SPC 11a
Huntington Beach, CA 92646-7609
Phone
(714) 785-4861
NPI assigned
Feb 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

21752 Pacific Coast Hwy
SPC 11a
Huntington Beach, CA 92646-7609

Mailing address

4301 N Federal Hwy
Butterfly Effects LLC, Suite 2 South
Pompano Beach, FL 33064-6519
Phone (888) 880-9270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1417296674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N FEDERAL HWY",
            "address_2": "BUTTERFLY EFFECTS LLC, SUITE 2 SOUTH",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646519",
            "telephone_number": "888-880-9270",
            "fax_number": "954-342-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21752 PACIFIC COAST HWY",
            "address_2": "SPC 11A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467609",
            "telephone_number": "714-785-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTIER",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.