NPIMap

Organization Active NPI

Child Development Center, Inc

  • Behavior Analyst
  • Missoula, MT
National Provider Identifier
1750422978
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CHILD DEVELOPMENT CENTER, INC
Doing business as
Child Development Center, Inc
Practice address
3335 LT Moss Rd
Missoula, MT 59804-7222
Phone
(406) 549-6413
Fax
(406) 542-0143
NPI assigned
Feb 9, 2007
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Julie Gilchrist
Title
Insurance Services Administrator
Phone
(406) 549-6413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3335 LT Moss Rd
Missoula, MT 59804-7222

Mailing address

3335 LT Moss Rd
Missoula, MT 59804-7222
Phone (406) 549-6413

Other identifiers 1

IdentifierTypeStateIssuer
601851MedicaidMT

Other names 1

  • Child Development Center, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Child Development Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1725 MT Highway 35
Kalispell, MT 59901
Phone (406) 549-6413

3335 Lt Moss Rd
Missoula, MT 59804
Phone (406) 543-2202

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1750422978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 LT MOSS RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047222",
            "telephone_number": "406-549-6413",
            "fax_number": "406-542-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 LT MOSS RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047222",
            "telephone_number": "406-549-6413",
            "fax_number": "406-542-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD DEVELOPMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "GILCHRIST",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "INSURANCE SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "406-549-6413"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601851",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child Development Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.