NPIMap

Organization Active NPI

Integrated Center for Child Development

  • Specialist
  • Canton, MA
National Provider Identifier
1720401979
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10654 Issued in MA
Legal business name
INTEGRATED CENTER FOR CHILD DEVELOPMENT
Practice address
340 Turnpike St
Canton, MA 02021-2700
Phone
(781) 619-1500
Fax
(617) 527-0640
NPI assigned
Jan 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Julie Robinson, OTR/L
Title
Director of Therapies
Phone
(781) 619-1581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 10654 MA Primary

Addresses

Primary practice location

340 Turnpike St
Canton, MA 02021-2700

Mailing address

340 Turnpike St
Canton, MA 02021-2700
Phone (781) 619-1500

National Provider Directory

National Provider Directory
Tax ID family
Iccd Partners7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

340 Turnpike St
Canton, MA 02021
Phone (781) 619-1500

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1720401979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TURNPIKE ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212700",
            "telephone_number": "781-619-1500",
            "fax_number": "617-527-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 TURNPIKE ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212700",
            "telephone_number": "781-619-1500",
            "fax_number": "617-527-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CENTER FOR CHILD DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPIES",
        "authorized_official_telephone_number": "781-619-1581",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "10654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.