SOVEREIGN PEDIATRIC (NPI# 1669922217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669922217 |
| Entity Type | Organization |
| Organization Name | SOVEREIGN PEDIATRIC |
| Practice Address |
1990 Green Trails Dr Lisle IL 60532-3345 |
| Practice Telephone | 6303702711 |
| Mailing Telephone | 6303702711 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Authorized Official Name | SUSAN BINDER (SPEECH PATHOLOGIST) |
| Authorized Official Telephone | 6303702711 |
| Authorized Official Credential | MA, SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 146.010876 | IL | Agencies |
| Street Address |
1990 GREEN TRAILS DR |
| City | LISLE |
| State | IL |
| Zip Code | 60532-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326555723 | Specialized Pediatric Occupational Therapy Services, LLC | Early Intervention Provider Agency | 748 Riedy Rd, Lisle, IL 60532-2231 | 2018-01-07 |
| 1386045748 | Plaudits Speech Therapy, Inc. | Early Intervention Provider Agency | 1890 Rehm Ct, Lisle, IL 60532-2828 | 2014-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190763 | Suzanne Mraz | Early Intervention Provider Agency | 4007 Sterling Rd, Downers Grove, IL 60515-2220 | 2020-07-06 |
| 1023632338 | Lutz Therapy, LLC | Early Intervention Provider Agency | 10550 Braeburn Rd, Barrington, IL 60010-9674 | 2020-06-02 |
| 1235751991 | Cynthia Dressler | Early Intervention Provider Agency | 7794 Sherwood Cir S, Hanover Park, IL 60133-2561 | 2020-05-15 |
| 1619599446 | Kids Evolve Early Development LLC | Early Intervention Provider Agency | 6009 S Laflin St, Chicago, IL 60636-2309 | 2020-05-14 |
| 1609401298 | Pamela Taylor | Early Intervention Provider Agency | 7611 S Crandon Ave, Chicago, IL 60649-4116 | 2020-03-04 |
| 1114550720 | Naima Johnson | Early Intervention Provider Agency | 233 W Country Ct, Bourbonnais, IL 60914-2119 | 2020-02-21 |
| 1407489578 | Elizabeth Piotrowski | Early Intervention Provider Agency | 729 Old Westbury Rd, Crystal Lake, IL 60012-3770 | 2020-02-18 |
| 1144850827 | Hyrin Owens | Early Intervention Provider Agency | 16014 Sawyer Ave, Markham, IL 60428-4528 | 2020-01-22 |
| 1417587569 | Heartland Medical Care | Early Intervention Provider Agency | 30 S Wacker Dr Fl 22, Chicago, IL 60606-7452 | 2020-01-16 |
| 1083254874 | Play & Learn Developmental Company | Early Intervention Provider Agency | 4518 W Van Buren St, Chicago, IL 60624-3050 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
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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.