NPIMap

Organization Active NPI

The Pediatric Development Center

  • Speech-Language Pathologist
  • Derwood, MD
National Provider Identifier
1609329168
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08202 Issued in MD
Legal business name
THE PEDIATRIC DEVELOPMENT CENTER
Practice address
17620 Redland Rd Ste a
Derwood, MD 20855-1245
Phone
(301) 869-7505
NPI assigned
Aug 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Audrey Burns
Title
Office Manager
Phone
(301) 879-7505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 08202 MD Primary

Addresses

Primary practice location

17620 Redland Rd Ste a
Derwood, MD 20855-1245

Mailing address

17620 Redland Rd Ste a
Derwood, MD 20855-1245
Phone (301) 879-7505

National Provider Directory

National Provider Directory
Tax ID family
The Pediatric Development Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

17620 Redland Rd
Ste A
Rockville, MD 20855
Phone (301) 869-7505

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1609329168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17620 REDLAND RD STE A",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551245",
            "telephone_number": "301-879-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17620 REDLAND RD STE A",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551245",
            "telephone_number": "301-869-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-879-7505"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derwood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.