CREATIVE DEVELOPMENT, LLC
NPI 1295928075
Specialist in Avon, CT

NPI Status: Active since August 24, 2007

Contact Information

30 AVON MEADOW LN
AVON, CT
ZIP 06001
Phone: (860) 833-9905
Fax: (860) 409-2190

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  • Organization
  • Specialist

About CREATIVE DEVELOPMENT, LLC

This page provides the complete NPI Profile along with additional information for Creative Development, Llc, a provider established in Avon, Connecticut operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1295928075 assigned on August 2007. The practitioner's primary taxonomy code is 174400000X with license number 000957 (CT). The provider is registered as an organization and their NPI record was last updated 9 years ago. Creative Development, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Deanne Anderson Otr/l (Managing Member)

NPI
1295928075
Provider Name
CREATIVE DEVELOPMENT, LLC
Entity Type
Organization
Location Address
30 AVON MEADOW LN AVON, CT 06001
Location Phone
(860) 833-9905
Location Fax
(860) 409-2190
Mailing Address
PO BOX 421 AVON, CT 06001
Mailing Phone
(860) 284-9779
Mailing Fax
(860) 409-2190
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2007
Last Update Date
04-07-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
000957
License State
CT
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

001742 (CT)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEANNE ANDERSON OTR/L

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(860) 284-9779

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
008047516MEDICAID (05)CT 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295928075
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2218518216014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 8 + 2 + 1 + 6 + 0 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1295928075 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467997148 SARAH CEBRY BENGTSON
Individual
Occupational Therapist30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1700362217MS. JENNA MARIE TELLERICO NILES MS CCC-SLP
Individual
Speech-Language Pathologist30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1174089817 NICOLETTE KATHLEEN KOVACS M.A., CCC-SLP
Individual
Speech-Language Pathologist30 AVON MEADOW LN
AVON, CT 06001
(860) 608-7366
1356522841MS. CHRISTINE ROBINSON M.S., CCC-SLP
Individual
Speech-Language Pathologist30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1205472032 KRISTEN SUTTON MS,OTR/L
Individual
Occupational Therapist30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1598301327 BROOKE M BOCHESE MS,OTR/L
Individual
Occupational Therapist30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1609484427 HALEY MARIE GUSTAVSON
Individual
Speech-Language Pathologist30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1013669472 CHRISTINE HEDBERG
Individual
Speech-Language Pathologist30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1669990248 VERONICA ELYSE SAAVEDRA OTR/L
Individual
Occupational Therapist30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1639642515MS. ALEXANDRA NICOLE POPPITI
Individual
Occupational Therapist (Pediatrics)30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1003531625 CYNTHIA ROMANO SLP
Individual
Speech-Language Pathologist30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1912546771 ELISABETH SUE SWANSON SLP
Individual
Speech-Language Pathologist30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1740827575 REBECCA SOUZA RPT
Individual
Physical Therapist30 AVON MEADOW LN
AVON, CT 06001
(860) 284-9779
1972887081 SALLI UNHONG SHON LCSW, BCBA, LBA
Individual
Behavior Analyst30 AVON MEADOW LN
AVON, CT 06001
(860) 740-6949

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295928075, enumerated in the NPI registry as an "organization" on August 24, 2007

The provider is located at 30 Avon Meadow Ln Avon, Ct 06001 and the phone number is (860) 833-9905

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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