MRS. SHARADAN PARKS


Address: 4409 Maine St, Quincy, IL 62305-5849
Phone: 2172230413

MRS. SHARADAN PARKS (NPI# 1053617860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053617860
Entity Type Individual
Full Name MRS. SHARADAN PARKS
Practice Address 4409 Maine St
Quincy
IL 62305-5849
Practice Telephone 2172230413
Mailing Telephone 2172230413
Enumeration Date 2011-01-27
Last Update Date 2011-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4409 MAINE ST
City QUINCY
State IL
Zip Code 62305-5849

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447258181 Scott J Wright Psychiatry & Neurology 4409 Maine St, Quincy, IL 62305-5849 2005-07-07
1285273144 Dana R. Knox Nurse Practitioner 4409 Maine St, Quincy, IL 62305-5849 2019-12-24
1205338993 Transitions of Western Illinois Inc. Clinic/Center 4409 Maine St, Quincy, IL 62305-5849 2018-03-08
1336697010 Jennifer Martin Social Worker 4409 Maine St, Quincy, IL 62305-5849 2016-09-12
1164820452 Amber Wiemelt Social Worker 4409 Maine St, Quincy, IL 62305-5849 2014-12-18
1336564764 Nancy A Weede Counselor 4409 Maine St, Quincy, IL 62305-5849 2014-02-21
1548534688 Transitions of Western Illinois Clinic/Center 4409 Maine St, Quincy, IL 62305-5849 2012-03-07
1720375454 Transitions of Western Illinois Clinic/Center 4409 Maine St, Quincy, IL 62305-5849 2011-07-01
1467749192 Transitions of Western Illinois Clinic/Center 4409 Maine St, Quincy, IL 62305-5849 2011-07-01
1457524035 Jerilyn C Dufresne Social Worker 4409 Maine St, Quincy, IL 62305-5849 2008-04-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386999001 Kristi Michelle Gillette Internal Medicine 5011 Oak St, Quincy, IL 62305 2012-07-18
1447582549 Cathi Marie Webb Counselor 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 2010-02-01
1285804450 Curtis D Fauble Dentist 4561 Maine, Quincy, IL 62305 2008-03-04
1598940256 Kelley Jo Begeman Licensed Practical Nurse 934 North 1903 Road Lane, Quincy, IL 62305 2007-12-31
1649459470 Aa Dental Care PC Dentist 407 So 48th Street, Quincy, IL 62305 2007-10-29
1982803920 Dennis Ryan Wagner Dentist 407 South 48th St, Quincy, IL 62305 2007-07-11
1689899056 Capelle House Day Training, Developmentally Disabled Services 3325 Ghost Hollow Road, Quincy, IL 62305 2007-04-13
1750416236 Julie A Danker Social Worker 2209 N 64th St, Quincy, IL 62305 2007-02-23
1942812300 Brooke N Bracy Dentist 4561 Maine, Quincy, IL 62305 2020-08-18
1558997379 Blessing Corporate Services, Inc Clinic/Center 4800 Maine St, Quincy, IL 62305 2020-03-13
Find all providers in zip 62305

Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962947804 Charlotte Cearlock Developmental Therapist 907 Kentucky St, Quincy, IL 62301-4153 2017-01-02
1699131466 Elizabeth Murphy Higgins Developmental Therapist 500 Victory Rd Ste 19, Quincy, MA 02171-3138 2016-01-11
1487063269 Julia Danielle O'neill Developmental Therapist 2433 Vermont St, Quincy, IL 62301-3259 2014-08-06
1134543168 Kim Stevens Developmental Therapist 3921 S 24th St, Quincy, IL 62305-8925 2014-02-11
1912256462 Zara Elizabeth Racz Developmental Therapist 12 Hancock Court, Quincy, MA 02169 2012-08-30
1467718973 Katherine Stegner Developmental Therapist 239 Glendale Dr, Quincy, IL 62301-4450 2012-04-09
1750664009 Carri Lin Bellis Developmental Therapist 1020 S 30th St, Quincy, IL 62301-6290 2011-09-23
1992086276 Regina Rae Bergman Developmental Therapist 1707 S 46th St, Quincy, IL 62305-9058 2011-08-31
1831416007 Jill Hendrickson Developmental Therapist 1465 Hampshire St, Quincy, IL 62301-3141 2010-04-28
1548494081 Linda Ann Kaltenbach Developmental Therapist 2610 Curved Creek Rd, Quincy, IL 62301-6513 2009-05-12
Find all providers in QUINCY

Competitor

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City QUINCY
Zip Code 62305

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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