Children'S Development Group for Speech, Occupational, and Physical TH

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

008810-1 Issued in NY

Legal business name

CHILDREN'S DEVELOPMENT GROUP FOR SPEECH, OCCUPATIONAL, AND PHYSICAL TH

Practice address

1717 Front St
Keeseville, NY 12944-3619

Phone

(518) 578-4912

Fax

(518) 834-7072

NPI assigned

Aug 7, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Margi Ann Carter, MA,CCC-SLP,CASNPI 1811140676

Title

Executive Director/PLLC Manager

Phone

(518) 578-4912

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margi Ann Carter, SLP

  • Speech-Language Pathologist
  • Jacksonville, NC
  • NPI 1811140676
  NPD Authorized official
• Rachael Christiana, M.A. CCC - SLP

  • Speech-Language Pathologist
  • West Chazy, NY
  • NPI 1730568023
  NPD (past)

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

{
    "created_epoch": "1281139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1639484298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 FRONT ST",
            "city": "KEESEVILLE",
            "state": "NY",
            "postal_code": "129443619",
            "telephone_number": "518-578-4912",
            "fax_number": "518-834-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 FRONT ST",
            "city": "KEESEVILLE",
            "state": "NY",
            "postal_code": "129443619",
            "telephone_number": "518-578-4912",
            "fax_number": "518-834-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DEVELOPMENT GROUP FOR SPEECH, OCCUPATIONAL, AND PHYSICAL TH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-07",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MARGI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/PLLC MANAGER",
        "authorized_official_telephone_number": "518-578-4912",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA,CCC-SLP,CAS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "008810-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSDOH",
            "identifier": "25821",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Carleen Bell, M.A., CCC- SLP
• Brittney Marie Benway
• Teri Lynn Bourdeau, CASAC-ADVANCED
• John K Burgess
• Joseph Rene Charron, PT
• Debra Clark, M.D.
• Marshia Ellen Desorcie, LCSW
• Jessica Drinkwine
• Cieara Elizabeth Duquette, LMSW
• Cassandra Lena Feazelle

• Early Intervention Provider Agency in Keeseville, NY
• Providers in Keeseville, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.