The Counseling Center for Child Development Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

THE COUNSELING CENTER FOR CHILD DEVELOPMENT INC

Practice address

10 Cabot Rd
101
Medford, MA 02155-5177

Phone

(781) 393-5151

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 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. Ann Fitzgerald, LICSW

Title

Clinical Director

Phone

(781) 393-5151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1467700070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CABOT RD",
            "address_2": "101",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CABOT RD",
            "address_2": "101",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555177",
            "telephone_number": "781-393-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNSELING CENTER FOR CHILD DEVELOPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "781-393-5151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leona Tevari, LMHC
• Neelam Thacker, M.D.
• Vasant Mukund Thacker, MD
• Sowmya Reddy Thadisina, MD
• Rebecca Faith Tharaud, M.D.
• The Counseling Center of Child Development, in
• Scott Thelemaque, PHARMD
• Sandra Ann Theodor, LICSW
• Therese H Venedikian DMD PC
• Regine Thiam-Kindler, M.ED.

• Case Management Agency in Medford, MA
• Providers in Medford, MA by specialty
• Case Management Agency in Massachusetts

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