The Pediatric Development Center, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THE PEDIATRIC DEVELOPMENT CENTER, LLC

Practice address

12520 Prosperity Dr
Silver Spring, MD 20904-1664

Phone

(301) 869-7505

Fax

(301) 869-7515

NPI assigned

Jul 6, 2016

Last updated

Sep 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Wetherill, MA, CCC-SLP, COM

Title

Executive Director

Phone

(301) 869-7505

Specialties & licenses 3

Addresses

Tax ID family

The Pediatric Development Center3 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.

• The Pediatric Development Center

  • Speech-Language Pathologist
  • Derwood, MD
  • NPI 1609329168
  NPD tax ID
• The Pediatric Development Center, LLC

  • Speech-Language Pathologist
  • Rockville, MD
  • NPI 1316357981
  NPD tax ID

Locations

Practitioners 6

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.

• Meagan Leatherbury Downey, OTR/L

  • Occupational Therapist
  • Silver Spring, MD
  • NPI 1558241380
  NPD
• Kayla Hunt

  • Speech-Language Pathologist
  • Rockville, MD
  • NPI 1033008990
  NPD
• Melody Hope Macinnis, M.S., OTR/L

  • Occupational Therapist
  • Silver Spring, MD
  • NPI 1689357873
  NPD
• Arianna Neary

  • Speech-Language Pathologist
  • Rockville, MD
  • NPI 1487170783
  NPD
• Elysia Sanchez I

  • Speech-Language Pathologist
  • Rockville, MD
  • NPI 1467174912
  NPD
• Lidia Trujillo

  • Occupational Therapist
  • Silver Spring, MD
  • NPI 1437045838
  NPD

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1891147534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15843 CRABBS BRANCH WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208556623",
            "telephone_number": "301-869-7505",
            "fax_number": "301-869-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 PROSPERITY DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041664",
            "telephone_number": "301-869-7505",
            "fax_number": "301-869-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC DEVELOPMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "WETHERILL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-869-7505",
        "authorized_official_credential": "MA, CCC-SLP, COM"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.