MELISSA JENSEN (NPI# 1619410578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619410578 |
Entity Type | Individual |
Full Name | MELISSA JENSEN |
Practice Address |
611 W Park St Urbana IL 61801-2529 |
Practice Telephone | 2173833311 |
Mailing Telephone | 2173833311 |
Enumeration Date | 2016-11-28 |
Last Update Date | 2016-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114539988 | Melissa Jensen | Counselor | 5303 Atascocita Rd Apt 1011, Humble, TX 77346-2873 | 2020-08-21 |
1578010807 | Melissa Jensen | Speech-Language Pathologist | 15228 117th Pl Ne, Kirkland, WA 98034-4610 | 2016-09-02 |
1114318755 | Melissa Jensen | Specialist | 370 Lawn Street, Pittsburgh, PA 15213 | 2015-02-17 |
1275942658 | Melissa Jensen | Psychologist | 11550 Winton Rd Dept 100, Cincinnati, OH 45240-2355 | 2014-08-11 |
1457782682 | Melissa Jensen | Registered Nurse | 20226 Seika Dr, Chugiak, AK 99567-0347 | 2013-12-13 |
1043518681 | Melissa Nancy Jensen | Speech-Language Pathologist | 325 N Kentucky Ave, North Massapequa, NY 11758-1120 | 2011-03-07 |
1891340337 | Melissa Jensen | Specialist/Technologist | 1901 56th Ave, Greeley, CO 80634-2980 | 2019-08-01 |
1487122024 | Melissa Leeann Jensen | Nurse Practitioner | 4300 Roosevelt Way Ne, Seattle, WA 98105-4718 | 2018-11-12 |
1760978829 | Melissa A Jensen | Counselor | 907 N Bluff Rd Ste 9, Collinsville, IL 62234-5816 | 2018-07-02 |
1114418845 | Melissa Marie Jensen | Behavior Technician | 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 | 2018-05-30 |
Street Address |
611 W PARK ST |
City | URBANA |
State | IL |
Zip Code | 61801-2529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831193416 | Mark L Saxton | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2005-06-10 |
1083214514 | Karissa Nelson | Physical Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-10-26 |
1720698756 | Justin Matthew Felix | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-04 |
1033729306 | Patricia Fairchild | Occupational Therapist | 611 W Park St, Urbana, IL 61801-2529 | 2020-08-03 |
1851909782 | Shruti Agarwal | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-16 |
1396363321 | Muhammad Umair Rana | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-07 |
1740807817 | Salma Malik | Internal Medicine | 611 W Park St, Urbana, IL 61801 | 2020-07-06 |
1477171536 | Audrey T Lam | Internal Medicine | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
1255959318 | Corbin Reid Mah | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-07-06 |
1093332652 | Knika Sethi | Surgery | 611 W Park St, Urbana, IL 61801-2529 | 2020-06-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
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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 |
---|---|---|---|---|
1750908406 | Kyla Jo Chantos | Developmental Therapist | 2155 Monroe Dr, Urbana, IL 61802-7564 | 2020-06-29 |
1376168740 | Chelsea Gourley | Developmental Therapist | 202 Thompson St, Urbana, IL 61801-1859 | 2020-06-11 |
1295360899 | Amanda York | Developmental Therapist | 904 Harmon St, Urbana, IL 61801-6832 | 2020-03-04 |
1164066361 | Dayle Evelyn Perry Sargeant | Developmental Therapist | 104 S Grove St Apt 5, Urbana, IL 61802-3401 | 2019-10-30 |
1992279202 | Crystal Williams | Developmental Therapist | 209 N Coler Ave Apt 4, Urbana, IL 61801-8106 | 2019-01-20 |
1780171934 | Cristy Cribbett | Developmental Therapist | 820 Peach Tree St, Urbana, IL 61802-7367 | 2018-04-13 |
1255736286 | Luminita Cristina Hartle | Developmental Therapist | 1707 S Cottage Grove Ave, Urbana, IL 61801-5976 | 2014-11-04 |
1255756839 | Tanapol Vikitsreth | Developmental Therapist | 700 S Gregory St Apt 501, Urbana, IL 61801-3785 | 2014-02-19 |
1073832010 | Kathleen A. Shea | Developmental Therapist | 508 E Scovill St, Urbana, IL 61801-6745 | 2010-05-28 |
1306069588 | Sara Elizabeth Becker | Developmental Therapist | 2 Penn Ct, Urbana, IL 61801-5235 | 2007-04-10 |
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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.