Organization Active NPI

Carolina Developmental Therapy Services, LLC

  • Early Intervention Provider Agency
  • Monroe, NC
National Provider Identifier
1679635387
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CAROLINA DEVELOPMENTAL THERAPY SERVICES, LLC
Practice address
104 Avon St
Monroe, NC 28110-3014
Phone
(704) 218-6230
Fax
(704) 973-0844
NPI assigned
Dec 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Ms. Janice Elaine Helms, LPC, ITFS
Title
Program Director
Phone
(704) 218-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

104 Avon St
Monroe, NC 28110-3014

Mailing address

PO Box 1047
Monroe, NC 28111-1047
Phone (704) 218-6230

Other identifiers 1

IdentifierTypeStateIssuer
8301732MedicaidNC

National Provider Directory

National Provider Directory

Locations

104 Avon St
Monroe, NC 28110
Phone (704) 218-6230

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1679635387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281111047",
            "telephone_number": "704-218-6230",
            "fax_number": "704-973-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 AVON ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103014",
            "telephone_number": "704-218-6230",
            "fax_number": "704-973-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DEVELOPMENTAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "704-218-6230",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, ITFS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301732",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.