Developmental Disabilities Health Partners Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

DEVELOPMENTAL DISABILITIES HEALTH PARTNERS CORP

Practice address

1285 Broad St
Bloomfield, NJ 07003-3045

Phone

(973) 338-4200

Fax

(973) 338-4440

NPI assigned

Oct 11, 2012

Organization subpart

No

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

Authorized official

Name

Kevin K Walsh, PH.D.

Title

President

Phone

(856) 697-7490

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1992057160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033045",
            "telephone_number": "973-338-4200",
            "fax_number": "973-338-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033045",
            "telephone_number": "973-338-4200",
            "fax_number": "973-338-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL DISABILITIES HEALTH PARTNERS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-697-7490",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231410",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Romyr Denor, PSY.D
• Dentistry for Children, P.a.
• Jessica Desormes
• Developmental Disabilities Health Alliance , Inc.
• Developmental Disabilities Health Alliance, Inc
• Developmental Disabilities Health Services PA
• Anthony Gerard Devincentis, D.M.D.
• Vincent Paul Devincentis, D.M.D.
• Jalpa Dhaduk, OTR/L
• Diagnostic Test Results LLC

• Behavior Analyst in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.