Pdc South
Early Intervention Provider Agency in Great Barrington, Massachusetts
1538557137- Practice location
- 924 S Main St, Great Barrington, MA 01230-2235
- Phone
- 413-717-4083
- Fax
- 413-448-8223
- Last updated
- January 5, 2015
Pdc South is a healthcare organization based in Great Barrington, MA. Pdc South practices in Great Barrington, MA. The NPI Number for Pdc South is 1538557137 and holds a License No. 91 (MA). The current practice location address for Pdc South is 924 S Main St, Great Barrington, MA 01230-2235 and can be reached out via phone at 413-717-4083 and via fax at 413-448-8223.
Provider Profile Details
- NPI Number
- 1538557137
- Provider Name
- Pdc South
- Provider Entity Type
- Organization
- Address
- 924 S Main St, Great Barrington, MA 01230-2235
- Phone Number
- 413-717-4083
- Fax Number
- 413-448-8223
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Patricia Hall Pellegrino, MED · Program Director · 413-499-4537
- Other Names
- Pediatric Development Center, INC. (Former Legal Business Name)
- Provider Enumeration Date
- January 5, 2015
- Last Update Date
- January 5, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 924 S Main St
Great Barrington, MA 01230-2235 - City
- Great Barrington
- State
- Massachusetts
- Zip
- 01230-2235
- Phone Number
- 413-717-4083
- Fax Number
- 413-448-8223
Provider Business Mailing Address Details
- Address
- 924 S Main St
Great Barrington, MA 01230-2235 - City
- Great Barrington
- State
- MA
- Zip
- 01230-2235
- Phone Number
- 413-717-4083
- Fax Number
- 413-448-8223
License Information
- License Number
- 91
- License State
- MA
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Early Intervention Provider Agency providers near Great Barrington, MA
View all Early Intervention Provider Agency providers in Great Barrington →- Sacredkairos LLCSocial Worker, Clinical · NPI 1073116075
- Lisa SolomonSocial Worker, Clinical · NPI 1891000675
- Helen Cohen, MS, SLP, CLCSpeech-Language Pathologist, · NPI 1104723410
- Jake V Aloia, BA, NREMTEmergency Medical Technician, Basic · NPI 1952287518
- Jeremy M BeckwithRegistered Nurse · NPI 1225940745
- Cynthia Lapier, LMHCCounselor, Mental Health · NPI 1831884212
Frequently Asked Questions
What is the NPI number of Pdc South?
The NPI number of Pdc South is 1538557137. It was assigned on January 5, 2015 and is currently active in the NPPES registry.
What is the specialty of Pdc South?
Pdc South is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X), licensed in MA under license number 91.
Where does Pdc South practice?
The practice location is 924 S Main St, Great Barrington, MA 01230-2235. The office can be reached at 413-717-4083 (phone) or 413-448-8223 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538557137 directly on the NPPES registry website.