NPIMap

Organization Active NPI

Dba Child Development Center of Marin

Doing business as DBA Child Development Center

  • Hearing and Speech Clinic/Center
  • Mill Valley, CA
National Provider Identifier
1780441949
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
DBA CHILD DEVELOPMENT CENTER OF MARIN
Doing business as
DBA Child Development Center
Practice address
1058 Redwood Hwy Frontage Rd
Mill Valley, CA 94941-1621
Phone
(415) 924-2444
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Denise Ford, MS, SLP- CCCNPI 1790033793
Title
Clinic Director
Phone
(415) 924-2444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

1058 Redwood Hwy Frontage Rd
Mill Valley, CA 94941-1621

Mailing address

1058 Redwood Hwy Frontage Rd
Mill Valley, CA 94941-1621

Other names 1

  • DBA Child Development Center Doing business as

National Provider Directory

National Provider Directory

Locations

1058 Redwood Hwy Frontage Rd
Mill Valley, CA 94941
Phone (415) 383-7265

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1780441949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 REDWOOD HWY FRONTAGE RD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 REDWOOD HWY FRONTAGE RD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411621",
            "telephone_number": "415-924-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBA CHILD DEVELOPMENT CENTER OF MARIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "415-924-2444",
        "authorized_official_credential": "MS, SLP- CCC"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Child Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.