NPIMap

Organization Active NPI

Child Development Network LLC

  • Registered Dietitian
  • Lexington, MA
National Provider Identifier
1922245752
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2178 Issued in MA
Legal business name
CHILD DEVELOPMENT NETWORK LLC
Practice address
76 Bedford St
Suite 12
Lexington, MA 02420-4646
Phone
(781) 861-6655
Fax
(781) 861-6654
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Dr. Janine Stasior, PHD, ABPDN
Title
Practice Manager, Neuropsychologist
Phone
(781) 861-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 2178 MA Primary

Addresses

Primary practice location

76 Bedford St
Suite 12
Lexington, MA 02420-4646

Mailing address

76 Bedford St
Suite 12
Lexington, MA 02420-4646
Phone (781) 861-6655

National Provider Directory

National Provider Directory
Tax ID family
Child Development Network3 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.

Locations

76 Bedford St
Ste 12
Lexington, MA 02420
Phone (781) 226-1196

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1922245752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST",
            "address_2": "SUITE 12",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204646",
            "telephone_number": "781-861-6655",
            "fax_number": "781-861-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST",
            "address_2": "SUITE 12",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204646",
            "telephone_number": "781-861-6655",
            "fax_number": "781-861-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD DEVELOPMENT NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "STASIOR",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "PRACTICE MANAGER, NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "781-861-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ABPDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.