KHADIYAH JOSEPH
NPI 1699201624
Clinic/Center - Developmental Disabilities in Palm Bay, FL

Active since May 11, 2017
1376 WALTHAN ST SE, PALM BAY, FL 32909(321) 423-0713 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Khadiyah Joseph NPPES

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

KHADIYAH JOSEPH (NPI 1699201624) is an individual developmental disabilities provider in Palm Bay, Florida and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1699201624
Entity TypeIndividualFemale
Primary Taxonomy261QD1600X
Provider Legal NameKHADIYAH JOSEPH
Location Address1376 WALTHAN ST SEPalm Bay, FL 32909-6053
Mailing Address1376 Walthan St SePalm Bay, FL 32909-6053 · (321) 423-0713
Sole ProprietorYes
Enumeration DateMay 11, 2017
NPI 1699201624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
1376 WALTHAN ST SE, Palm Bay, FL 32909

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 Khadiyah Joseph's NPI number?

The NPI number for Khadiyah Joseph is 1699201624. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Khadiyah Joseph located?

Khadiyah Joseph practices at 1376 Walthan St SE, Palm Bay, FL 32909. The listed phone number is (321) 423-0713.

What is Khadiyah Joseph's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Khadiyah Joseph was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.