Mending Wings Developmental Services, Inc.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

MENDING WINGS DEVELOPMENTAL SERVICES, INC.

Practice address

4066 N Cambray Dr
Fayetteville, AR 72703-5049

Phone

(479) 283-0024

NPI assigned

Feb 19, 2007

Last updated

Aug 22, 2020By 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

Donald Chad SullivanNPI 1639213986

Title

President

Phone

(479) 283-0024

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Donald Chad Sullivan, OTRL

  • Pediatric Occupational Therapist
  • Springdale, AR
  • NPI 1639213986

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922142272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 N CAMBRAY DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035049",
            "telephone_number": "479-283-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 N CAMBRAY DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035049",
            "telephone_number": "479-283-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING WINGS DEVELOPMENTAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-283-0024"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waqar M Mehal, MD
• Erin Melton, PMHNP-BC
• Memory Medical
• Anna C Mendenhall, LCSW
• Ashley Nicole Mendez, PHARM.D.
• Eddie Anthony Mengarelli, M.D.
• Menm, LLC (Miracle-Ear)
• Lynette Menna, OTR/L
• Mental Health Matters, LLC
• Drew Leighanne Merchen, OTRL

• Pediatric Occupational Therapist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Pediatric Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.