CAROL L JOHNSON (NPI# 1649484882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649484882 |
| Entity Type | Individual |
| Full Name | CAROL L JOHNSON |
| Practice Address |
245 W Exchange St Ste 4 Sycamore IL 60178-1495 |
| Mailing Address |
518 S Harvey Ave Freeport IL 61032-4715 |
| Practice Telephone | 8158959227 |
| Practice Fax Number | 8158952971 |
| Mailing Telephone | 8152325233 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| 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 |
|---|---|---|---|---|
| 1326522947 | Carol R Johnson | Social Worker | 4 Sunset Rd, Marblehead, MA 01945-1425 | 2018-09-19 |
| 1255729745 | Carol Jean Johnson | Midwife | 6515 S Rohanna Way, Boise, ID 83709-5819 | 2015-01-06 |
| 1861806879 | Carol Johnson | Registered Nurse | 43421 K Beach Rd # 4, Soldotna, AK 99669-8259 | 2014-06-17 |
| 1114363140 | Carol Martin Johnson | Counselor | 4708 Kingsessing Ave, Philadelphia, PA 19143-3819 | 2013-05-16 |
| 1467799932 | Carol Lasuane Johnson | Home Health | 239 Charles Towne Ct, Columbia, SC 29209-3075 | 2013-01-03 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1568711679 | Carol Johnson | Social Worker | 63 Third St., Mansfield, PA 16933-0063 | 2012-09-05 |
| 1427337344 | Carol Marsh Johnson | Occupational Therapist | 795 Crown St, Apt # 2f, Brooklyn, NY 11213-5864 | 2011-08-09 |
| 1487945960 | Carol Ann Johnson | Contractor | 2054 N Thornton Rd, Space 105, Casa Grande, AZ 85122-7853 | 2011-05-02 |
| 1538480819 | Carol Johnson | Registered Nurse | 467 Waynesboro Hwy, Waynesboro, TN 38485-6200 | 2010-06-21 |
| Street Address |
245 W EXCHANGE ST STE 4 |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356564793 | Darla Lynn Blackbourn | Specialist | 245 W Exchange St Ste 4, Sycamore, IL 60178-1495 | 2007-04-11 |
| 1831371756 | Diane Marie Tyrrell | Developmental Therapist | 245 W Exchange St Ste 4, Sycamore, IL 60178-1495 | 2007-12-03 |
| 1871707802 | Pamela Lucille Miller | Developmental Therapist | 245 W Exchange St Ste 4, Sycamore, IL 60178-1495 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| 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 |
|---|---|---|---|---|
| 1215493648 | Madilin Bodine | Developmental Therapist | 924 Buckingham Dr, Sycamore, IL 60178-1271 | 2019-02-11 |
| 1851861231 | Emilie Frances Lothson | Developmental Therapist | 1004 Commercial St, Sycamore, IL 60178-2502 | 2018-11-28 |
| 1326514548 | Katie Chirstine Martinez | Developmental Therapist | 628 S Peace Rd, Sycamore, IL 60178-1642 | 2018-10-15 |
| 1992122501 | Ami Beth Atkins | Developmental Therapist | 1540 W Stonehenge Dr, 1, Sycamore, IL 60178-2669 | 2014-03-20 |
| 1417110875 | Kelley Anne Amptmann | Developmental Therapist | 2253 Overland Rd, Sycamore, IL 60178-8929 | 2008-07-07 |
| 1841487527 | Jayna P Bartelt | Developmental Therapist | 1173 Jenny Dr Apt F, Sycamore, IL 60178-9529 | 2007-09-26 |
| 1972706398 | Lynn Mary O'toole | Developmental Therapist | 940 Foxpointe Dr, Sycamore, IL 60178-3216 | 2007-06-06 |
| 1184826653 | Denise C Sullivan | Developmental Therapist | 908 Vaughn Ct, Sycamore, IL 60178-2036 | 2007-06-05 |
| 1396955779 | Kendra Schreck Coots | Developmental Therapist | 206 N Cross St, Sycamore, IL 60178-1304 | 2007-05-23 |
| 1033325873 | Angela Carter | Developmental Therapist | 1157 Martin St, Sycamore, IL 60178-1246 | 2007-05-16 |
| Find all providers in SYCAMORE | ||||
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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.