Organization Active NPI

Children's Center for Development & Behavior

  • Cognitive & Behavioral Psychologist
  • Sunrise, FL
National Provider Identifier
1801953278
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
CHILDREN'S CENTER FOR DEVELOPMENT & BEHAVIOR
Practice address
440 Sawgrass Corporate Pkwy
Suite 106
Sunrise, FL 33325-6244
Phone
(954) 745-1112
NPI assigned
Jan 3, 2007
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Jose Azel
Title
Ceo
Phone
(954) 745-1112

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X Primary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X FL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

440 Sawgrass Corporate Pkwy
Suite 106
Sunrise, FL 33325-6244

Mailing address

440 Sawgrass Corporate Pkwy
Suite 106
Sunrise, FL 33325-6244
Phone (954) 745-1112

Other identifiers 4

IdentifierTypeStateIssuer
691637696MedicaidFL
811574500MedicaidFL
691637698MedicaidFL
888987200MedicaidFL

Other names 1

  • Children's Pyschology Associates Other name

National Provider Directory

National Provider Directory
Tax ID family
Children's Center for Development Behavior3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

440 Swgrs Crp Pkwy
Ste 106
Sunrise, FL 33325
Phone (954) 727-0822

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1801953278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256244",
            "telephone_number": "954-745-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256244",
            "telephone_number": "954-745-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CENTER FOR DEVELOPMENT & BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "AZEL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-745-1112",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691637696",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811574500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691637698",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888987200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Pyschology Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.