NPI 1619554680 · live from the CMS NPI Registry
Cortica Developmental Therapies PA
Clinic/Center, Multi-Specialty in Plano, TX. National Provider Identifier 1619554680, active.
NPI record
| NPI | 1619554680 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Multi-Specialty 261QM1300X |
| Practice location | 5025 W Park Blvd Ste 300, Plano, TX 75093 |
| Practice phone | 972-665-8484 |
| Mailing address | 6160 Cornerstone Ct E Ste 100, San Diego, CA 92121 |
| Enumerated | March 25, 2021 |
| Last updated | September 15, 2025 |
| Authorized official | Suzanne Goh-Hattangadi, Owner/Chief Medical Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Neurodevelopmental Disabilities | 2080P0008X | — |
| Clinic/Center, Developmental Disabilities | 261QD1600X | — |
| Clinic/Center, Multi-Specialty primary | 261QM1300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.