Development Academy Corporation

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Legal business name

DEVELOPMENT ACADEMY CORPORATION

Doing business as

The Sergeants Fish & Donut

Practice address

5601 Wilke Farm Ave
Louisville, KY 40216-1289

Phone

(812) 225-9259

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jarvis Peele

Title

Secretary

Phone

(502) 910-1117

Specialties & licenses 7

Addresses

Other names 1

• THE SERGEANTS FISH & DONUT Doing business as

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1689454126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 ARTHUR ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471309577",
            "telephone_number": "502-910-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 WILKE FARM AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161289",
            "telephone_number": "812-225-9259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2414 Arthur St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471309577",
            "country_code": "US",
            "telephone_number": "502-910-1117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "537 Dr W J Hodge St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402031561",
            "country_code": "US",
            "telephone_number": "502-910-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEVELOPMENT ACADEMY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "PEELE",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-910-1117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE SERGEANTS FISH & DONUT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arthi Devaraju Kaundar, M.D
• Rose D Devasia, MD,MPH
• Developing Young Minds
• Development Academy Corporation (The Sergeant's Fish & Donut)
• Development Academy Corporation (The Sergeant's Fish & Donut)
• Developmental Disabilities Services University Corridor
• Amber Devine-Stinson, M.S., CCC-SLP
• Cordelia Marie Devine
• Crysta Devine, APRN
• Michelle Lynn Devine, PTA

• School Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• School Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.