SUSAN MAYO (NPI# 1770933954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770933954 |
| Entity Type | Individual |
| Full Name | SUSAN MAYO |
| Practice Address |
14615 W Fox Creek Ct Brimfield IL 61517-9529 |
| Mailing Address |
2436 W Pintura Ct # A Peoria IL 61614-1444 |
| Practice Telephone | 3092580084 |
| Practice Fax Number | 8663191546 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |
| 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 |
|---|---|---|---|---|
| 1619283447 | Susan Mayo | Social Worker | 131 Maple Row Blvd, Hendersonville, TN 37075-3880 | 2010-08-31 |
| 1386696185 | Susan Mayo | Internal Medicine | 2230 Lynn Rd Ste 200, Thousand Oaks, CA 91360-1900 | 2006-05-17 |
| 1073842811 | Susan Mayo | Physical Therapist | 901 N Curtis Rd, Boise, ID 83706-1338 | 2009-12-07 |
| 1588676654 | Susan Leslie Mayo | Psychologist | 1640 Powers Ferry Rd Se, Bldg. 17, Ste. 350, Marietta, GA 30067-5491 | 2006-08-13 |
| Street Address |
14615 W FOX CREEK CT |
| City | BRIMFIELD |
| State | IL |
| Zip Code | 61517-9529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417235573 | Shine Therapy Services LLC | Community Health Worker | 14615 W Fox Creek Ct, Brimfield, IL 61517-9529 | 2011-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598975005 | Curtis Bruce Sherman | Pharmacist | 91 Knoxville Ave, Brimfield, IL 61517 | 2007-05-23 |
| 1700886280 | Robert Scott Bevill | Family Medicine | 111 E Knoxville St, Brimfield, IL 61517-8022 | 2005-07-27 |
| 1609330596 | Andrea Jane Hoerr | Nurse Practitioner | 111 E Knoxville St, Brimfield, IL 61517-8022 | 2019-01-25 |
| 1508867557 | Eagle Family Medicine Sc | Family Medicine | 111 E Knoxville St, Brimfield, IL 61517-8022 | 2005-08-02 |
| 1588928006 | Clint Martin | Dentist | 232 E Knoxville St, Brimfield, IL 61517-8103 | 2012-06-28 |
| 1568072668 | Brimfield Family Dentistry, P.C. | Clinic/Center | 232 E Knoxville St, Brimfield, IL 61517-8103 | 2020-08-04 |
| 1801211941 | Sarah Lynn Moon | Speech-Language Pathologist | 216 E Clinton St, Brimfield, IL 61517-8157 | 2014-02-26 |
| 1215583299 | Samantha Marie Haeffner | Technician | 7511 N Honeysuckle Ct, Brimfield, IL 61517-8700 | 2019-08-14 |
| 1033361506 | Randy Eugene Lloyd | Massage Therapist | 14602 W Southport Rd, Brimfield, IL 61517-9372 | 2008-10-16 |
| 1346768660 | Brenda Wiewel | Speech-Language Pathologist | 9202 Philander Chase Ln, Brimfield, IL 61517-9492 | 2017-09-07 |
| Find all providers in zip 61517 | ||||
| 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 |
|---|---|---|---|---|
| 1003413568 | Amy Rohan | Developmental Therapist | 17545 Mulberry Ave, Tinley Park, IL 60487-6163 | 2020-10-07 |
| 1992302954 | Vannetta C Thompson | Developmental Therapist | 2247 Gunderson Ave Apt 2, Berwyn, IL 60402-5147 | 2020-10-02 |
| 1477150506 | Quanita Crawford | Developmental Therapist | 3734 W Cortland St Apt 303, Chicago, IL 60647-7565 | 2020-10-01 |
| 1740897412 | Angela Perry | Developmental Therapist | 521 Eden Park Dr, Rantoul, IL 61866-1507 | 2020-09-28 |
| 1235746975 | Dominique Scott | Developmental Therapist | 5342 S Wells St, Chicago, IL 60609-6219 | 2020-09-27 |
| 1003429820 | Adrienne C Latronica | Developmental Therapist | 9865 Cordoba Ct Apt 2b, Orland Park, IL 60462-3190 | 2020-08-31 |
| 1669083424 | Lindsay Miner | Developmental Therapist | 2272 W Leland Ave # 1e, Chicago, IL 60625-2006 | 2020-08-13 |
| 1851901672 | Gretchen Susanne Biggerstaff | Developmental Therapist | 1706 S Hancock St, Mc Leansboro, IL 62859-1996 | 2020-08-06 |
| 1205446549 | Rene Yvonne Green | Developmental Therapist | 14425 E Blue Ridge Dr, Effingham, IL 62401-7168 | 2020-08-02 |
| 1306455357 | Noel Elizabeth Ryall | Developmental Therapist | 9123 Baldwin Dr, Machesney Park, IL 61115-1715 | 2020-07-27 |
| 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.