NPIMap

Organization Active NPI

Pediatric Developmental Services

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
National Provider Identifier
1598373755
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PEDIATRIC DEVELOPMENTAL SERVICES
Practice address
2250 N Druid Hills Rd NE Ste 265
Atlanta, GA 30329-3141
Phone
(410) 220-4306
NPI assigned
Jul 14, 2020
Organization subpart
Yes
Parent organization
THE THERAPY SPOTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Chana Indich
Title
Insurance Coordinator
Phone
(410) 358-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2250 N Druid Hills Rd NE Ste 265
Atlanta, GA 30329-3141

Mailing address

115 Sudbrook LN Ste a
Pikesville, MD 21208-4184
Phone (410) 358-1997

Other names 1

  • Pediatric Developmental Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Therapy Spot3 organizations share this tax ID, including this one
Part of
The Therapy Spot

Other organizations with this tax ID 2

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

Locations

2250 N Druid Hills Rd NE
Ste 265
Atlanta, GA 30329
Phone (410) 220-4306

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1598373755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUDBROOK LN STE A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084184",
            "telephone_number": "410-358-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N DRUID HILLS RD NE STE 265",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293141",
            "telephone_number": "410-220-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DEVELOPMENTAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE THERAPY SPOT",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "INDICH",
        "authorized_official_first_name": "CHANA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "410-358-1997"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Developmental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.