INTEGRATED CENTER FOR CHILD DEVELOPMENT
NPI 1003011388
Clinical Neuropsychologist in Canton, MA

NPI Status: Active since June 18, 2007

Contact Information

340 TURNPIKE ST
SUITE 11A
CANTON, MA
ZIP 02021
Phone: (617) 641-0900
Fax: (617) 641-0930

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  • Organization
  • Clinical Neuropsychologist

About INTEGRATED CENTER FOR CHILD DEVELOPMENT

Integrated Center For Child Development is a provider established in Canton, Massachusetts operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1003011388 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 17 years ago. Integrated Center For Child Development 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 Legal Name
ICCD PARTNERS
Other Organization Name
INTEGRATED CENTER FOR CHILD DEVELOPMENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
340 TURNPIKE ST SUITE 11A CANTON, MA 02021
Location Phone
(617) 641-0900
Location Fax
(617) 641-0930
Mailing Address
340 TURNPIKE ST SUITE 11A CANTON, MA 02021
Mailing Phone
(617) 641-0900
Mailing Fax
(617) 641-0930
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
06-18-2007
Last Update Date
08-29-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH MOLDOVER PSY.D

Authorized Official Title
CO DIRECTOR
Authorized Official Phone
(617) 641-0900

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003011388
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003012316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 2 + 3 + 1 + 6 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003011388 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

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 Pathologist340 TURNPIKE ST SUITE 1-3A
CANTON, MA 02021
(781) 619-1500
1285898106DR. REBECCA J EDDY MUCCILLI PSY.D.
Individual
Psychologist340 TURNPIKE ST 1-3A
CANTON, MA 02021
(781) 619-1500
1013166743 KATIA FREDRIKSEN PSY.D
Individual
Clinical Neuropsychologist340 TURNPIKE ST
CANTON, MA 02021
(781) 619-1500
1265681993 JESSICA MCQUOID PH.D
Individual
Clinical Neuropsychologist340 TURNPIKE ST
CANTON, MA 02021
(781) 619-1500
1235365156ICCD PARTNERS, LLP
Organization
Speech-Language Pathologist340 TURNPIKE ST
CANTON, MA 02021
(781) 619-1500
1417289489ICCD PARTNERS, LLP
Organization
Clinic/Center (Developmental Disabilities)340 TURNPIKE ST
CANTON, MA 02021
(781) 619-1500
1043529498ICCD 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 Pathologist340 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 Neuropsychologist340 TURNPIKE ST
CANTON, MA 02021
(781) 619-1500
1578708988 NICOLE ZWIEP OT
Individual
Occupational Therapist340 TURNPIKE ST SUITE 1-3A
CANTON, MA 02021
(781) 619-1500
1104261635 CONSTANCE KUMIKO WAUTHIER MSOT, OTR/L
Individual
Occupational Therapist340 TURNPIKE ST
CANTON, MA 02021
(781) 619-1500
1720401979INTEGRATED CENTER FOR CHILD DEVELOPMENT
Organization
Specialist340 TURNPIKE ST
CANTON, MA 02021
(781) 619-1500
1558766543 BONNIE NGUYEN
Individual
Speech-Language Pathologist340 TURNPIKE ST
CANTON, MA 02021
(781) 619-1500
1760825459MS. CAROLINE J BRINKERT M.S., CCC-SLP
Individual
Speech-Language Pathologist340 TURNPIKE ST
CANTON, MA 02021
(781) 619-1500
1033652912 SARAH ERVIN MS,OTR/L
Individual
Specialist340 TURNPIKE ST
CANTON, MA 02021
(781) 619-1581
1326540725 KAYLA BRUCCOLERI OTR/L
Individual
Occupational Therapist340 TURNPIKE ST
CANTON, MA 02021
(201) 407-1072
1962964916 SEAN MATTHEW HOXIE LMHC
Individual
Counselor (Mental Health)340 TURNPIKE ST
CANTON, MA 02021
(781) 619-1500
1124681713 GINA TORCOLETTI MS, CCC-SLP
Individual
Speech-Language Pathologist340 TURNPIKE ST
CANTON, MA 02021
(617) 658-5600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003011388, enumerated in the NPI registry as an "organization" on June 18, 2007

The provider is located at 340 Turnpike St Suite 11a Canton, Ma 02021 and the phone number is (617) 641-0900

This medical organization specializes in Clinical Neuropsychologist with taxonomy code 103G00000X

This NPI record was last updated on June 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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