Organization Active NPI

Child Development Network

  • Pediatric Occupational Therapist
  • Santa Barbara, CA
National Provider Identifier
1609110378
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT4310 Issued in CA
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

Updated by the provider on Dec 14, 2012

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT32974 CA
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT4310 CA Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT6386 CA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP11393 CA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.