CMS-1500 Box 24J / 33a • NPI
1922277417
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
252Y00000X
Licensed & Credentialed Early Intervention Provider Agency
Box 32 Service Location & ZIP+4
905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC, 27127-9803
✓ 9-Digit EDI 837 ZIP+4 (27127-9803)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1922277417 (ABC OF NC CHILD DEVELOPMENT CENTER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1922277417 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ABC OF NC CHILD DEVELOPMENT CENTER |
| Plain-English Specialty | Licensed & Credentialed Early Intervention Provider Agency NUCC Code: 252Y00000X (Early Intervention Provider Agency) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC, 27127-9803 |
| Practice Telephone / Fax | Tel: (336) 251-1180 | Fax: (336) 251-1181 |
| Administrative Mailing Address | 905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC, 27127-9803 |
| Enumeration & Last Sync | Enumerated: 2008-02-28 | CMS Record Updated: 2023-06-21 |
| Authorized Official | SELENE JOHNSON (Executive Director) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (252Y00000X)
What Does Taxonomy Code 252Y00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 252Y00000X translates to:
"Licensed & Credentialed Early Intervention Provider Agency"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ABC OF NC CHILD DEVELOPMENT CENTER)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103TC0700X — Psychologist, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical | State: NC | License: 4074 | Primary: Secondary |
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: N/A | License: 1084186 | Primary: Secondary |
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: N/A | License: 122977 | Primary: Secondary |
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: N/A | License: 0125034 | Primary: Secondary |
252Y00000X — Early Intervention Provider AgencyPlain English: Licensed & Credentialed Early Intervention Provider Agency | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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