CHILD DEVELOPMENT NETWORK NPI 1902952658

NPI Information

NPI: 1902952658
Provider Name: CHILD DEVELOPMENT NETWORK
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address: 76 BEDFORD ST STE 12
LEXINGTON, MA
ZIP 02420
Phone: (781) 861-6655

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NPI Details

CHILD DEVELOPMENT NETWORK is a clinical neuropsychologist in Lexington, MA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. CHILD DEVELOPMENT NETWORK NPI is 1902952658. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

76 BEDFORD ST STE 12
LEXINGTON, MA
ZIP 02420-640
Phone: (781) 861-6655
Fax: (781) 861-6654

The provider's authorized official is Janine Korahais Stasior .
The authorized official title is Neuropsychologist, Business Owner and has the following contact phone number (781) 861-6655.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 8/22/2020.

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
1	103G00000X	Clinical Neuropsychologist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W10652	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD

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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