DEVELOPMENTAL DIAGNOSTICS, LLC (NPI# 1730643065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730643065 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DIAGNOSTICS, LLC |
| Practice Address |
612 S Cambridge Ave Elmhurst IL 60126-4045 |
| Practice Telephone | 6302091650 |
| Mailing Telephone | 6302091650 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | MS. LISA CARYN O'HALLORAN (OWNER) |
| Authorized Official Telephone | 6302091650 |
| Is Organization Subpart | 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 |
|---|---|---|---|---|
| 1831723808 | Developmental Diagnostics, LLC | Clinical Neuropsychologist | 15 E Minnesota St Ste 105, Saint Joseph, MN 56374-4691 | 2020-02-27 |
| Street Address |
612 S CAMBRIDGE AVE |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| 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 |
|---|---|---|---|---|
| 1891290276 | Jennifer Pope Dunlap | Developmental Therapist | 480 W Montrose Ave, Elmhurst, IL 60126-3761 | 2018-03-27 |
| 1073993044 | Leigh Ward | Developmental Therapist | 525 S Swain Ave, Elmhurst, IL 60126-3829 | 2015-06-04 |
| 1801150255 | Marie Lopez | Developmental Therapist | 792 S Spring Rd, Elmhurst, IL 60126-4724 | 2012-06-30 |
| 1255655148 | Noelia Mendiola | Developmental Therapist | 578 W 3rd St, Elmhurst, IL 60126-2548 | 2010-03-21 |
| 1831352996 | Diane Elaine Dejong | Developmental Therapist | 325 N Larch Ave, Elmhurst, IL 60126-2311 | 2008-07-08 |
| 1215148085 | Tracy German Meehan | Developmental Therapist | 206 Grandview St, Elmhurst, IL 60126 | 2007-05-24 |
| 1568689453 | Lisa Caryn O'halloran | Developmental Therapist | 180 S Lawndale Ave, Elmhurst, IL 60126-3524 | 2007-04-20 |
| 1457473332 | Michele M Lynch | Developmental Therapist | 135 S Arlington Ave, Elmhurst, IL 60126-3545 | 2007-04-04 |
| 1861009706 | Natasha Hossain | Developmental Therapist | 8403 57th Ave, Elmhurst, NY 11373-4833 | 2020-09-24 |
| 1043748098 | Amanda Frances Crooks | Developmental Therapist | 483 W 2nd St, Elmhurst, IL 60126-2509 | 2017-06-02 |
| Find all providers in ELMHURST | ||||
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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.