INTEGRATED CENTER FOR CHILD DEVELOPMENT (ICCD PARTNERS) NPI 1003011388
Clinical Neuropsychologist in Canton, MA
About INTEGRATED CENTER FOR CHILD DEVELOPMENT (ICCD PARTNERS)
Integrated Center For Child Development (iccd Partners) is a provider established in Canton, Massachusetts specializing in clinical neuropsychologist. The NPI number of Integrated Center For Child Development (iccd Partners) is 1003011388 and was assigned on June 2007. The practitioner's primary taxonomy code is 103G00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Integrated Center For Child Development (iccd Partners) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Integrated Center For Child Development. The authorized official of this NPI record is Joseph Moldover Psy.d (Co Director)
NPI | 1003011388 |
Provider Name | INTEGRATED CENTER FOR CHILD DEVELOPMENT (ICCD PARTNERS) |
Provider Location Address | 340 TURNPIKE ST SUITE 11A CANTON, MA 02021 |
Provider Mailing Address | 340 TURNPIKE ST SUITE 11A CANTON, MA 02021 |
NPI Entity Type | Organization |
Is Sole Proprietor? | N/A |
Is Organization Subpart? | No |
Other Organization Name | INTEGRATED CENTER FOR CHILD DEVELOPMENT |
Other Name Type | Doing Business As (3) |
Enumeration Date | 06-18-2007 |
Last Update Date | 08-29-2007 |
Primary Taxonomy
Taxonomy Code | 103G00000X |
Classification | Clinical Neuropsychologist |
Type | Behavioral Health & Social Service Providers |
Taxonomy Description | A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. |
Business Address
INTEGRATED CENTER FOR CHILD DEVELOPMENT
340 TURNPIKE ST
SUITE 11A
CANTON, MA
ZIP 02021
Phone: (617) 641-0900
Fax: (617) 641-0930
Mailing Address
INTEGRATED CENTER FOR CHILD DEVELOPMENT
340 TURNPIKE ST
SUITE 11A
CANTON, MA
ZIP 02021
Phone: (617) 641-0900
Fax: (617) 641-0930
Group Taxonomy
193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1063487346 | AMY M COUGHLIN M.S., CCC-SLP Individual | Speech-Language Pathologist | 340 TURNPIKE ST SUITE 1-3A CANTON, MA 02021 (781) 619-1500 |
1285898106 | DR. REBECCA J EDDY MUCCILLI PSY.D. Individual | Psychologist | 340 TURNPIKE ST 1-3A CANTON, MA 02021 (781) 619-1500 |
1013166743 | KATIA FREDRIKSEN PSY.D Individual | Clinical Neuropsychologist | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1500 |
1265681993 | JESSICA MCQUOID PH.D Individual | Clinical Neuropsychologist | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1500 |
1235365156 | ICCD PARTNERS, LLP Organization | Speech-Language Pathologist | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1500 |
1417289489 | ICCD PARTNERS, LLP Organization | Clinic/Center (Developmental Disabilities) | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1500 |
1043529498 | ICCD PARTNERS Organization | Pediatrics (Developmental - Behavioral Pediatrics) | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1500 |
1295031557 | SQIRE PAIGE Individual | Counselor (Mental Health) | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1500 |
1205181872 | KERRY ELLEN MCCOLGAN M.A., CCC-SLP Individual | Speech-Language Pathologist | 340 TURNPIKE ST SUITE 1-3A CANTON, MA 02021 (781) 619-1500 |
1366677460 | ZOE K OKOLIE Individual | Social Worker (Clinical) | 340 TURNPIKE ST SUITE 1 CANTON, MA 02021 (781) 619-1523 |
1952646895 | MEGHAN DRISCOLL PSY.D Individual | Clinical Neuropsychologist | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1500 |
1578708988 | NICOLE ZWIEP OT Individual | Occupational Therapist | 340 TURNPIKE ST SUITE 1-3A CANTON, MA 02021 (781) 619-1500 |
1104261635 | CONSTANCE KUMIKO WAUTHIER MSOT, OTR/L Individual | Occupational Therapist | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1500 |
1720401979 | INTEGRATED CENTER FOR CHILD DEVELOPMENT Organization | Specialist | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1500 |
1558766543 | BONNIE NGUYEN Individual | Speech-Language Pathologist | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1500 |
1104292903 | KATHLEEN HOLMES CCC-SLP Individual | Speech-Language Pathologist | 340 TURNPIKE ST SUITE1-3A CANTON, MA 02021 (781) 619-1500 |
1043620800 | MRS. JESSICA ALVES HANNA OTR/L Individual | Specialist | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1581 |
1760825459 | MS. CAROLINE J BRINKERT M.S., CCC-SLP Individual | Speech-Language Pathologist | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1500 |
1033652912 | SARAH ERVIN MS,OTR/L Individual | Specialist | 340 TURNPIKE ST CANTON, MA 02021 (781) 619-1581 |
1326540725 | KAYLA BRUCCOLERI OTR/L Individual | Occupational Therapist | 340 TURNPIKE ST CANTON, MA 02021 (201) 407-1072 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.