MRS. SUSAN LYNN SHERBON (NPI# 1225436546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225436546 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN LYNN SHERBON |
| Credential | BCBA |
| Practice Address |
251 Brentwood Rd Machesney Park IL 61115-1064 |
| Practice Telephone | 8152184928 |
| Mailing Telephone | 8152184928 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1-14-10063 | IL | Agencies |
| Street Address |
251 BRENTWOOD RD |
| City | MACHESNEY PARK |
| State | IL |
| Zip Code | 61115-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033675087 | Mary B O'meara | Nurse Practitioner | 9721 N Alpine, Machesney Park, IL 61115 | 2019-02-14 |
| 1518486398 | Jordyn Morris | Speech-Language Pathologist | 710 Ralston Rd, Machesney Park, IL 61115 | 2017-09-13 |
| 1053713966 | Dental Professionals of Illinois, P.C. | Dentist | 1411 W Lane Rd Ste B, Machesney Park, IL 61115 | 2014-09-23 |
| 1922326271 | Mitalkumar K Patel | Dentist | 1363 W. Lane Road, Machesney Park, IL 61115 | 2010-05-12 |
| 1720134802 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1349 W Lane Rd, Machesney Park, IL 61115 | 2007-01-25 |
| 1710371471 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1770 W Lane Rd, Machesney, IL 61115 | 2015-03-20 |
| 1174872519 | Dana Lynn Slabaugh | Physical Therapist | 10510 Ventura Blvd, Machesney Park, IL 61115-1263 | 2012-08-30 |
| 1073590204 | Terry Buzzard | Family Medicine | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2005-12-29 |
| 1609475672 | Meaghan Elizabeth Reed | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2020-10-21 |
| 1073098380 | Emily Catherine Lutgen | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2018-10-02 |
| Find all providers in zip 61115 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
| City | MACHESNEY PARK |
| Zip Code | 61115 |
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| 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.