Pediatric Early Intervention & Developmental Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PEDIATRIC EARLY INTERVENTION & DEVELOPMENTAL SERVICES

Practice address

3786 Ladson Road
Ladson, SC 29456

Phone

(843) 284-9929

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Delesline Miller, ED.DNPI 1023881620

Title

Owner

Phone

(843) 437-4597

Specialties & licenses 2

Addresses

Other names 1

• Pediatric Developmental Services Other name

Locations

Practitioners 1

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

• Delesline Miller, ED.D.

  • Early Intervention Provider Agency
  • North Charleston, SC
  • NPI 1023881620

  Case Manager/Care Coordinator

  NPD Authorized official

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1750155974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 DORCHESTER RD",
            "address_2": "SUITE 109 PMB 341",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294207387",
            "telephone_number": "843-437-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 LADSON ROAD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "29456",
            "telephone_number": "843-284-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC EARLY INTERVENTION & DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DELESLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-437-4597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Developmental Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Patten, OTR/L
• Bridget C Patterson
• Regan Olivia Payne, OTR/L
• Emily Jordan Peacock, PA-C
• Stephanie Pecht
• Keely Pelliccio, OTR/L
• Shanika Pendergrass
• Miranda Mae Perez, M.S., CCC-SLP
• Kaylee Perry, LMSW
• Douglas Peters, RPH

• Early Intervention Provider Agency in Ladson, SC
• Providers in Ladson, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.