Provider Type Icon

MD DEVELOPMENTAL AGENCY NPI 1174140800


NPI Information

NPI: 1174140800
Provider Name: MD DEVELOPMENTAL AGENCY

Former Legal Business Name: MD DEVELOPMENTAL AGENCY

Classification: Developmental Therapist - 222Q00000X
Entity Type: Organization
Address:
2520 SAINT ROSE PKWY STE H2-216
HENDERSON, NV
ZIP 89074
Phone: (773) 407-7558
Get Directions

MD DEVELOPMENTAL AGENCY is a developmental therapist in Henderson, NV. The provider is 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. MD DEVELOPMENTAL AGENCY NPI is 1174140800. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Md Developmental Agency.

The provider's business location address is:

2520 SAINT ROSE PKWY STE H2-216
HENDERSON, NV
ZIP 89074-783
Phone: (773) 407-7558
Fax: (702) 852-0430

The provider's authorized official is Debra Stewart .
The authorized official title is Co-owner and has the following contact phone number (773) 407-7558.

The enumeration date for this NPI number is 6/29/2020 and was last updated on 5/20/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Q00000XDevelopmental TherapistYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.