MISS JENNIFER ELLEN TISDELL (NPI# 1467634683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467634683 |
Entity Type | Individual |
Full Name | MISS JENNIFER ELLEN TISDELL |
Practice Address |
30 Old Lyman Rd South Hadley MA 01075-2630 |
Mailing Address |
18 Keefe Ave Holyoke MA 01040-2213 |
Practice Telephone | 4135337140 |
Mailing Telephone | 4135368287 |
Enumeration Date | 2007-11-29 |
Last Update Date | 2007-11-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | S60873821 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
30 OLD LYMAN RD |
City | SOUTH HADLEY |
State | MA |
Zip Code | 01075-2630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245308063 | Lauren Chase | Speech-Language Pathologist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2006-12-01 |
1851934830 | Erika Lamagdeleine | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-10-23 |
1891338174 | Samon Davis | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-10-19 |
1154982692 | Rachel Guerin | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-06-25 |
1487218178 | Brenda Bernazar | Psychologist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-04-28 |
1407318793 | Chantal Jocelyne Boucher | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-04-04 |
1922567429 | Elizabeth Reardon | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-03-14 |
1851859409 | Jamie P Fisher-hertz | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-03-02 |
1215491923 | Cassandra Elisabeth Goncalves | Speech-Language Pathologist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-01-27 |
1285120840 | Elizabeth Gale | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2018-07-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093279267 | Sean Gremillion | Physical Therapist | 2122 573 Granby Rd, South Hadley, MA 01075 | 2019-01-22 |
1992226914 | Shalimar Rucci | Community Health Worker | 258 Old Lyman Road, South Hadley, MA 01075 | 2017-06-29 |
1104288505 | Northeast Behavioral Associates | Home Health | 285 Brainerd Street, South Hadley, MA 01075 | 2016-03-24 |
1326464744 | Integrity Women's Health, LLC | Psychologist | 27 College Street, Suite 201, South Hadley, MA 01075 | 2014-03-10 |
1801145222 | Health Imperatives, Inc. | Clinic/Center | 87 Canal Street, South Hadley, MA 01075 | 2012-08-30 |
1588832927 | Kindreth D Hamilton | Acupuncturist | 27 College St., Suite 201, South Hadley, MA 01075 | 2008-02-20 |
1184802217 | Sabrina Herman | Social Worker | 7 Hadley St., South Hadley, MA 01075 | 2008-01-31 |
1528251360 | Nenita G Shea | Psychiatry & Neurology | 30 Riverwood, South Hadley, MA 01075 | 2007-08-24 |
1760691687 | Monica J Drew | Physical Therapy Assistant | Wingate At South Hadley, 573 Granby Rd, South Hadley, MA 01075 | 2007-05-21 |
1053537142 | Simon Taylor | Social Worker | James Levine & Associates, P.C., 9 College Street, Suite 6, South Hadley, MA 01075 | 2007-04-17 |
Find all providers in zip 01075 |
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 |
---|---|---|---|---|
1154982692 | Rachel Guerin | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-06-25 |
1922567429 | Elizabeth Reardon | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-03-14 |
1851859409 | Jamie P Fisher-hertz | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-03-02 |
1831680594 | Cassandra C Allard | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2018-05-29 |
1831564798 | Joannah Thai | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2015-12-03 |
1952738130 | Keliesha Ayannah Russell | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2013-10-02 |
1134479249 | Tina Palatino | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2012-09-17 |
1356633408 | Heather Sarah Messier | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2011-05-09 |
1467743898 | Sarah Mary Downie | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2011-04-19 |
1760792006 | Vanessa Leigh Wilson | Developmental Therapist | 30 Old Lyman Road, South Hadley, MA 01075 | 2010-10-20 |
Find all providers in SOUTH HADLEY |
City | SOUTH HADLEY |
Zip Code | 01075 |
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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.