Developmental Associates, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

5339 Issued in OH

Legal business name

DEVELOPMENTAL ASSOCIATES, LLC

Practice address

4605 Morse Rd Ste 201
Gahanna, OH 43230-7300

Phone

(614) 578-1165

Fax

(614) 388-5561

NPI assigned

Nov 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Carol Annette Bline, PH.D.NPI 1427087667

Title

Chief Executive Officer

Phone

(614) 578-1185

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carol A Bline, PH.D.

  • Psychologist
  • Gahanna, OH
  • NPI 1427087667
  NPD Authorized official

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1871006296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MORSE RD STE 201",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432307300",
            "telephone_number": "614-578-1165",
            "fax_number": "614-388-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 MORSE RD STE 201",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432307300",
            "telephone_number": "614-578-1165",
            "fax_number": "614-388-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "BLINE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-578-1185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "OH",
            "license": "5339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Clare Dendinger, FNP-C
• Paul E Dennis, O.D.
• Starr Lajean Dent, R.N.
• Ronak Jayendra Desai, M.D.
• Lori Michele Deshetler, M.S.P.T.
• Ryan David Dick, D.C.
• Alyssa Christine Dillon, FNP
• Kade Neal Dillon, COTA
• Tara Dillon
• Patrick Joseph Dineen, MD

• Developmental Disabilities Clinic/Center in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Developmental Disabilities Clinic/Center in Ohio

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