Child Development Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

P003800 Issued in NC

Legal business name

CHILD DEVELOPMENT CENTER, INC.

Practice address

3802 Princess Place Dr
Wilmington, NC 28405-3226

Phone

(910) 343-4245

Fax

(910) 343-4254

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Nancy B. Haddock, RN,MSN

Title

Executive Director

Phone

(910) 343-4245

Specialties & licenses 11

Addresses

Other identifiers 3

Locations

Practitioners 3

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

• Emily Jane Clontz, MA/CCC-SLP

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1518134253
  NPD (past)
• Lydia Sexton Gaster

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1073795399
  NPD (past)
• Mary Allen Jefferies, M.S, CCC-SLP

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1952658361
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1679619571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 PRINCESS PLACE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053226",
            "telephone_number": "910-343-4245",
            "fax_number": "910-343-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 PRINCESS PLACE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053226",
            "telephone_number": "910-343-4245",
            "fax_number": "910-343-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD DEVELOPMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "HADDOCK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-343-4245",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,MSN"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "8300128B",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "7270",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9077",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "3496",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "1237",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6530",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4584",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6881",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "P003592",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "65000539",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "P003800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300128B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300128K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211807",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Michele Chestnut, LPN
• Casey Jo Chevalier, PA-C
• Madeline Elizabeth Chiarizia
• Jeffrey Beecham Chick, M.D.
• Child Advocacy and Parenting Place Exchange Club Center Inc.
• Carter J Childs, MD
• Paul S Chipley, MD
• Chiropractic Center of Wilmington, Inc
• Choice Healthcare Center, P.C.
• Ahmad Bilal Choudry, MD

• Community/Behavioral Health Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.