Growing Kids Therapy Center Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GROWING KIDS THERAPY CENTER INC.

Practice address

722 Grant St Ste a
Herndon, VA 20170-4533

Phone

(703) 464-0456

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Julie Randall

Title

Practice Manager

Phone

(703) 464-0456

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1851092746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 GRANT ST STE A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704533",
            "telephone_number": "703-464-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 GRANT ST STE A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704533",
            "telephone_number": "703-464-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING KIDS THERAPY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "703-464-0456"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Greelis, PH.D.
• Grace Greenan
• Bryan L Grimmer, D.D.S.
• Karen Gronow Gutierrez
• Madeline R Grove
• Growing Minds Speech & Language Intervention, LLC
• Growpath Progams
• Jennifer Marie Guevara, FNP-C
• Brianna Guillory
• Melody Guitz

• Clinic/Center in Herndon, VA
• Providers in Herndon, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.