SEASONS PEDIATRIC DEVELOPMENT CTR - COLUMBIA LLC NPI 1811809148

NPI Information

  • NPI: 1811809148
  • Provider Name: SEASONS PEDIATRIC DEVELOPMENT CTR - COLUMBIA LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 3400 W BROADWAY BUSINESS PARK CT STE 106
    COLUMBIA, MO
    ZIP 65203
  • Phone: (573) 303-5138

Map and Directions

Get Directions

NPI Details

SEASONS PEDIATRIC DEVELOPMENT CTR - COLUMBIA LLC is a clinic center in Columbia, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SEASONS PEDIATRIC DEVELOPMENT CTR - COLUMBIA LLC NPI is 1811809148. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 W BROADWAY BUSINESS PARK CT STE 106
COLUMBIA, MO
ZIP 65203-331
Phone: (573) 303-5138

The provider's authorized official is Jason Mcclary .
The authorized official title is Manager and has the following contact phone number (573) 303-5138.

The enumeration date for this NPI number is 9/21/2026 and was last updated on 9/21/2026.

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
1103K00000XBehavior AnalystNo
2106S00000XBehavior TechnicianNo
3225100000XPhysical TherapistNo
4225X00000XOccupational TherapistNo
5235Z00000XSpeech-Language PathologistNo
6251S00000XCommunity/Behavioral HealthNo
7252Y00000XEarly Intervention Provider AgencyNo
8261Q00000XClinic/CenterYes
9261QD1600XClinic/CenterDevelopmental DisabilitiesNo
10261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

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

NPI Synchronization or Removal

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.