Early Bird Developmental Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

EARLY BIRD DEVELOPMENTAL SERVICES, LLC

Practice address

212 W Matthews St
Suite 105
Matthews, NC 28105-5441

Phone

(704) 846-0262

NPI assigned

Nov 18, 2006

Organization subpart

No

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

Authorized official

Name

Sherry Seitlin Kornfeld, MED, CCC-SLPNPI 1073563359

Title

Member/Manager

Phone

(704) 995-2900

Specialties & licenses 13

Addresses

Other identifiers 2

Locations

Practitioners 12

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

• Sherry Seitlin Kornfeld, MED, CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1073563359
  NPD (past) Authorized official
• Keira Jean Gathers, M.O.T.

  • Pediatric Occupational Therapist
  • Charlotte, NC
  • NPI 1669519823
  NPD (past)
• Kimberly A Levy, BS

  • Developmental Therapist
  • Charlotte, NC
  • NPI 1306083761
  NPD (past)
• Alisha Meagan McCanney, MS., OTR/L

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1558649269
  NPD (past)
• Shayla Means-Williams

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902057839
  NPD (past)
• Kara Sue Miller

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1932489242
  NPD (past)
• Kathryn Norberg, M.S.ED., CCC-SLP

  • Speech-Language Pathologist
  • Harrisburg, NC
  • NPI 1336490135
  NPD (past)
• Audrey Pearlman, BS

  • Developmental Therapist
  • Charlotte, NC
  • NPI 1922245380
  NPD (past)
• Madeline Michelle Rousseaux, SLP-CCC

  • Student in an Organized Health Care Education/Training Program
  • Matthews, NC
  • NPI 1255036117
  NPD (past)
• Jayne Walton, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1629360821
  NPD (past)
• Kelly Ann Woodfin

  • Developmental Therapist
  • Charlotte, NC
  • NPI 1386894889
  NPD (past)
• Rachel Wzorek

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1972162584
  NPD (past)

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1891869236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 SIMMON TREE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700676",
            "telephone_number": "704-995-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MATTHEWS ST",
            "address_2": "SUITE 105",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055441",
            "telephone_number": "704-846-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY BIRD DEVELOPMENTAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "KORNFELD",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "SEITLIN",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "704-995-2900",
        "authorized_official_credential": "MED, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212110",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302333",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Stuart Dupuy Jr., M.D.
• Jill Jaffe Durinick, RD,LDN
• April Duritza, LCSWA
• Eagle Eye Counseling & Consulting, PLLC
• Maggie Eaglen, OT
• Taneha Eason
• Meghan Erin Easterday, LCMHC-A
• Michelle Easterly, PT
• Eastover Foot & Ankle PA
• Lori Blanchard Eaton, NP-C

• Speech-Language Pathologist in Matthews, NC
• Providers in Matthews, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.