MRS. KATI JO CLISH (NPI# 1700276094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700276094 |
| Entity Type | Individual |
| Full Name | MRS. KATI JO CLISH |
| Practice Address |
3138 Whitney Road Aurora IL 60502 |
| Mailing Address |
3138 Whitney Rd Aurora IL 60502-7055 |
| Practice Telephone | 6302296129 |
| Mailing Telephone | 6302296129 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3138 WHITNEY ROAD |
| City | AURORA |
| State | IL |
| Zip Code | 60502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816856 | Amanda Robinson | Behavior Technician | 452 Behavioral Perspective, Aurora, IL 60502 | 2017-04-26 |
| 1982141743 | Kathleen Werrline | Behavior Technician | 452 N Eola Rd A, Aurora, IL 60502 | 2017-01-31 |
| 1821430513 | Central Du Page Hospital Assn | Non-Pharmacy Dispensing Site | 2635 Church Rd, Aurora, IL 60502 | 2013-07-23 |
| 1417219437 | Krystle Cordova Gadrinab-jones | Family Medicine | 1222 N Eola Rd Ste D, Aurora, IL 60502 | 2012-06-14 |
| 1063794642 | Jimit Baxi | Pharmacist | 2986 Kirk Road, Aurora, IL 60502 | 2011-09-09 |
| 1154532315 | Dmj Home Health Services, Inc | Home Health | 2720 E. New York St., Suite 120, Aurora, IL 60502 | 2007-05-26 |
| 1336211770 | Gary Joseph Masterson | Optometrist | 405 North Eola Rd, Suite K, Aurora, IL 60502 | 2006-11-14 |
| 1760580708 | Deborah J Riddell | Advanced Practice Midwife | 2972 Indian Trail Road, Suite A, Aurora, IL 60502 | 2006-09-21 |
| 1811001779 | Dinesh J Patel Dds PC | Dentist | 405 N Eola Rd, #l, Aurora, IL 60502 | 2006-08-18 |
| 1447206123 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1157 N Eola Rd, Aurora, IL 60502 | 2006-05-25 |
| Find all providers in zip 60502 | ||||
| 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 |
|---|---|---|---|---|
| 1770101503 | Leticia R Arceo | Developmental Therapist | 2112 W Galena Blvd, Aurora, IL 60506-3255 | 2020-07-08 |
| 1235759028 | Mildred Aranda | Developmental Therapist | 2800 Pontiac Ct # 1286, Aurora, IL 60502-9099 | 2020-04-21 |
| 1043863566 | Amelia R Simpson | Developmental Therapist | 2851 Lindgren Ct, Aurora, IL 60503-6257 | 2019-07-23 |
| 1386113884 | Meghan E Harazin | Developmental Therapist | 2721 Cavalcade Ct, Aurora, IL 60503-4616 | 2018-11-14 |
| 1114493509 | Maya Foster | Developmental Therapist | 1390 Andover Dr, Aurora, IL 60504-5984 | 2018-10-23 |
| 1134603368 | Susan Diane Leder | Developmental Therapist | 10715 Hueseman Rd, Aurora, IN 47001-2253 | 2018-09-24 |
| 1245729458 | Lynn Theresa Tigges | Developmental Therapist | 11 Canterbury Rd, Aurora, IL 60506-4211 | 2018-05-02 |
| 1548778616 | Sharon Merrell | Developmental Therapist | 319 Newport Ln, Aurora, IL 60504-7291 | 2018-01-11 |
| 1063947851 | Lela Jean Frantzen | Developmental Therapist | 949 Wellington Cir, Aurora, IL 60506-6904 | 2017-04-28 |
| 1609307172 | Jennifer Y Perkins | Developmental Therapist | 1962 Tall Oaks Dr Apt 3b, Aurora, IL 60505-1461 | 2017-03-25 |
| Find all providers in AURORA | ||||
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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.