ICCD PARTNERS NPI 1043529498

NPI Information

  • NPI: 1043529498
  • Provider Name: ICCD PARTNERS
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • Address: 340 TURNPIKE ST
    CANTON, MA
    ZIP 02021
  • Phone: (781) 619-1500

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NPI Details

ICCD PARTNERS is a developmental - behavioral pediatrics pediatrics in Canton, MA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. ICCD PARTNERS NPI is 1043529498. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

340 TURNPIKE ST
CANTON, MA
ZIP 02021-700
Phone: (781) 619-1500
Fax: (617) 527-0640

The provider's authorized official is Rafael Castro .
The authorized official title is Executive Director and has the following contact phone number (781) 619-1500.

The enumeration date for this NPI number is 10/4/2010 and was last updated on 10/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207SG0201XMedical GeneticsClinical Genetics (M.D.)No
22084P0800XPsychiatry & NeurologyPsychiatryNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
42080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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