MS. CHEA WYATT (NPI# 1235590100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235590100 |
| Entity Type | Individual |
| Full Name | MS. CHEA WYATT |
| Practice Address |
112 Chevy Chase Dr Belleville IL 62223-4120 |
| Practice Telephone | 6189608167 |
| Mailing Telephone | 6189608167 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
112 CHEVY CHASE DR |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| Find all providers in zip 62223 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841732435 | Mary Buehler | Developmental Therapist | 8412 Hillview Dr, Belleville, IL 62223-4054 | 2016-11-14 |
| 1225488539 | Kelly Collier | Developmental Therapist | 1859 Galway Dr, Belleville, IL 62221-8001 | 2016-06-16 |
| 1013297431 | Latisha Shanta Lewis | Developmental Therapist | 1948 Richmond Springs Ln, Belleville, IL 62220-3283 | 2011-08-17 |
| 1427388818 | Emily Ann Wittenauer | Developmental Therapist | 2306 E Main St, Belleville, IL 62221-5026 | 2010-01-06 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1144474537 | Betty Lee Croissant | Developmental Therapist | 17 N 37th St, Belleville, IL 62226-6008 | 2008-11-11 |
| 1114196433 | Sarah Christine Saettele | Developmental Therapist | 8118 W A St, Belleville, IL 62223-2408 | 2008-02-21 |
| 1508067158 | Christine Marie Dunlap | Developmental Therapist | 3304 Seven Pines Dr, Belleville, IL 62221-6638 | 2007-05-30 |
| 1821216359 | Diane Carrie Warfield | Developmental Therapist | 2821 Fairway Dr, Belleville, IL 62220-4868 | 2007-04-22 |
| 1801919022 | Carla Evonne Bouc | Developmental Therapist | 812 S Virginia Ave, Belleville, IL 62220-3689 | 2007-04-10 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62223 |
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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.