Organization Active NPI

Center for Developmentally Disabled

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kansas City, MO
National Provider Identifier
1962535211
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CENTER FOR DEVELOPMENTALLY DISABLED
Practice address
9150 E 41St Ter
Kansas City, MO 64133-1448
Phone
(816) 531-0045
Fax
(816) 756-5612
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Sarah Hart Mudd
Title
President/Ceo
Phone
(816) 531-0045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

9150 E 41St Ter
Kansas City, MO 64133-1448

Mailing address

9150 E 41St Ter
Kansas City, MO 64133-1448
Phone (816) 531-0045

Other identifiers 1

IdentifierTypeStateIssuer
858906100MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Center for Developmentally Disabled15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1962535211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 E 41ST TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331448",
            "telephone_number": "816-531-0045",
            "fax_number": "816-756-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 E 41ST TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331448",
            "telephone_number": "816-531-0045",
            "fax_number": "816-756-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DEVELOPMENTALLY DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "MUDD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "816-531-0045"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "858906100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.