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

Q: What is Iccd Partners's NPI number?

The NPI number for Iccd Partners is 1003011388. It was assigned to this organization in the NPPES registry on June 18, 2007. The provider is doing business as Integrated Center For Child Development.

Q: What is Iccd Partners's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Iccd Partners was last updated on August 29, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 18, 2007

340 TURNPIKE ST, SUITE 11A, CANTON, MA 02021(617) 641-0900(617) 641-0930 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Integrated Center For Child Development NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED CENTER FOR CHILD DEVELOPMENT (NPI 1003011388) is a healthcare organization registered as a clinical neuropsychologist in Canton, Massachusetts and active in the NPI registry since June 2007. The organization lists Joseph Moldover, Co Director, as its authorized official.

NPPES Registry Identity

NPI1003011388

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameICCD PARTNERS

Location Address340 TURNPIKE ST, SUITE 11ACanton, MA 02021-2700

Mailing Address340 Turnpike St, Suite 11aCanton, MA 02021-2700 · (617) 641-0900 · Fax (617) 641-0930

Phone(617) 641-0900

Fax(617) 641-0930

Organization SubpartNo

Authorized OfficialJoseph MoldoverCo Director · (617) 641-0900

Enumeration DateJune 18, 2007

Last NPPES UpdateAugust 29, 2007

✔ NPI 1003011388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

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.

340 TURNPIKE ST, Canton, MA 02021

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Other Names 1

Doing Business AsIntegrated Center For Child Development

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY M COUGHLIN M.S., CCC-SLP

Speech-Language Pathologist

340 TURNPIKE ST, SUITE 1-3A
CANTON, MA 02021

Norfolk County (781) 619-1500

DR. REBECCA J EDDY MUCCILLI PSY.D.

Psychologist

340 TURNPIKE ST, 1-3A
CANTON, MA 02021

Norfolk County (781) 619-1500

KATIA FREDRIKSEN PSY.D

Clinical Neuropsychologist