Active NPI
Child Development Network
- Pediatric Occupational Therapist
- Santa Barbara, CA
National Provider Identifier
1609110378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT4310
- Legal business name
- CHILD DEVELOPMENT NETWORK
- Practice address
- 123 W Padre St Ste F
Santa Barbara, CA 93105-3960 - Phone
- (805) 729-1992
- Fax
- (805) 687-3680
- NPI assigned
- Nov 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Machel Freel, M.A.
- Title
- Owner/Director
- Phone
- (805) 729-1992
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT32974 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | OT4310 | CA | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT6386 | CA | |
| Speech-Language Pathologist | 235Z00000X | SP11393 | CA | |
| Speech-Language Pathologist | 235Z00000X | SP15963 | ||
| Early Intervention Provider Agency | 252Y00000X | OT4310 | CA | |
| Early Intervention Provider Agency | 252Y00000X | OT6386 | CA | |
| Early Intervention Provider Agency | 252Y00000X | SP11393 | CA | |
| Early Intervention Provider Agency | 252Y00000X | SP15963 | ||
| Early Intervention Provider Agency | 252Y00000X | PT32974 | CA |
Addresses
Primary practice location
123 W Padre St Ste F
Santa Barbara, CA 93105-3960
Mailing address
123 W Padre St Ste F
Santa Barbara, CA 93105-3960
Phone (805) 729-1992
National Provider Directory
National Provider DirectoryLocations
123 W Padre St
Ste F
Santa Barbara, CA 93105
Phone (805) 563-2669
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Santa Barbara, CA
- NPI 1184131724
-
- Speech-Language Pathologist
- Santa Barbara, CA
- NPI 1801329305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355443200000",
"number": "1609110378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W PADRE ST STE F",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053960",
"telephone_number": "805-729-1992",
"fax_number": "805-687-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W PADRE ST STE F",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053960",
"telephone_number": "805-729-1992",
"fax_number": "805-687-3680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD DEVELOPMENT NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-19",
"last_updated": "2012-12-14",
"status": "A",
"authorized_official_last_name": "FREEL",
"authorized_official_first_name": "MACHEL",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "805-729-1992",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT32974",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT4310",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT6386",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP11393",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "SP15963",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "CA",
"license": "OT4310",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "CA",
"license": "OT6386",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "CA",
"license": "SP11393",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": "SP15963",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "CA",
"license": "PT32974",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.