MR. CHARLES ANTHONY MCCULLOUGH
NPI 1174887202
Developmental Therapist in Cincinnati, OH

Active since July 03, 2012
880 GRETNA LN, CINCINNATI, OH 45240(513) 490-2510 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Anthony Mccullough NPPES

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

MR. CHARLES ANTHONY MCCULLOUGH (NPI 1174887202) is an individual developmental therapist in Cincinnati, Ohio and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1174887202
Entity TypeIndividualMale
Primary Taxonomy222Q00000X
Provider Legal NameMR. CHARLES ANTHONY MCCULLOUGH
Location Address880 GRETNA LNCincinnati, OH 45240-2426
Mailing Address880 Gretna LnCincinnati, OH 45240-2426 · (513) 490-2510
Sole ProprietorYes
Enumeration DateJuly 3, 2012
NPI 1174887202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
880 GRETNA LN, Cincinnati, OH 45240

Other Identifiers 1

Medicaid2884517OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Mccullough's NPI number?

The NPI number for Charles Mccullough is 1174887202. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Charles Mccullough located?

Charles Mccullough practices at 880 Gretna Ln, Cincinnati, OH 45240. The listed phone number is (513) 490-2510.

What is Charles Mccullough's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Charles Mccullough was last updated on July 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.