Pediatric Development Center

LBN: Pediatric Development Center
Pediatric Development Center is an health care organization with primary practice located at 12 Westbrook Cmn , Westbrook ME 04092. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty. Pediatric Development Center can be contacted via phone (207) 591-7210, or through O'Brien, Jillian R via phone (207) 591-7210.

Contact Information

Primary practice address
12 Westbrook Cmn Westbrook ME 04092
Phone: (207) 591-7210
Fax: (207) 591-7213
Website:
Map and Directions
Authorized official contact:
Name: O'Brien, Jillian R OTRL
Phone: (207) 591-7210

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1720173321
LBN Legal business name Pediatric Development Center
DBA Doing business as
Authorized official O'Brien, Jillian R OTRL
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Oct 12th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720173321 NPPES
Maine MEDICAID 128690000

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