Provider Demographics
NPI:1881722437
Name:CRITERION CHILD ENRICHMENT, INC.
Entity type:Organization
Organization Name:CRITERION CHILD ENRICHMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:LITTLETON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:508-478-2631
Mailing Address - Street 1:345 FORTUNE BLVD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1723
Mailing Address - Country:US
Mailing Address - Phone:508-473-3422
Mailing Address - Fax:
Practice Address - Street 1:345 FORTUNE BLVD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-1723
Practice Address - Country:US
Practice Address - Phone:508-473-3422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA20097OtherBMC HEALTHNET INS.
MA435280OtherHEALTH SOURCE
MA1803409Medicaid
MA1803794Medicaid
MAEI0006OtherBCBS OF MASS
MA603915OtherHARVARD PILGRIM HEALTH
MA15427OtherHEALTH NEW ENGLAND
MA1800949Medicaid
MA1803808Medicaid
MA8304658OtherAETNA INSURANCE
MA988066OtherNETWORK HEALTH
MA0009398OtherNEIGHBORHOOD HEALTH PLAN
MA716484OtherTUFTS ASSOCIATED HEALTH
MA80256OtherFALLON
MA1803816Medicaid
MA0114656OtherUNITED HEALTH CARE
MA1800884Medicaid
MA1803336Medicaid