ANGEL JOHNSON (NPI# 1912446550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912446550 |
| Entity Type | Individual |
| Full Name | ANGEL JOHNSON |
| Practice Address |
4248 W West End Ave Chicago IL 60624-2244 |
| Practice Telephone | 7732163484 |
| Mailing Telephone | 7732163484 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| 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 | |
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124555115 | Angel Johnson | Specialist | 2400 Herodian Way Se Ste 375, Smyrna, GA 30080-8581 | 2017-05-22 |
| 1912338047 | Angel Han Johnson | Community Health Worker | 3351 Duckhorn Dr, #1016, Sacramento, CA 95834-2625 | 2013-11-27 |
| 1194005934 | Angel Marie Johnson | Obstetrics & Gynecology | 910 Washington Street, Suite 200, New York, MA 10028-7173 | 2011-08-25 |
| 1760027015 | Angel Johnson | Social Worker | 500 Nw 165th Street Rd Ste 100, Miami, FL 33169-6306 | 2019-11-11 |
| 1861969339 | Angel Johnson | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-11-01 |
| 1659870194 | Angel Lea Johnson | Pharmacist | 318 N Chancery St, Mcminnville, TN 37110-2048 | 2018-02-11 |
| 1841661584 | Angel Johnson | Social Worker | 3420 Kabel Dr, New Orleans, LA 70131-6926 | 2015-10-07 |
| 1811373632 | Angel Johnson | Nurse Practitioner | 110 Municipal Street, Burnsville, Wv, WV 26335 | 2015-08-04 |
| 1467867366 | Angel Johnson | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2014-06-30 |
| 1144508466 | Angel Madolid Johnson | Nurse Practitioner | 17218 N 72nd Dr, Suite #100, Glendale, AZ 85308-8580 | 2011-08-03 |
| Street Address |
4248 W WEST END AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| 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 |
|---|---|---|---|---|
| 1477150506 | Quanita Crawford | Developmental Therapist | 3734 W Cortland St Apt 303, Chicago, IL 60647-7565 | 2020-10-01 |
| 1235746975 | Dominique Scott | Developmental Therapist | 5342 S Wells St, Chicago, IL 60609-6219 | 2020-09-27 |
| 1669083424 | Lindsay Miner | Developmental Therapist | 2272 W Leland Ave # 1e, Chicago, IL 60625-2006 | 2020-08-13 |
| 1841818663 | Lauren Lansdale | Developmental Therapist | 1322 S Prairie Ave Unit 1709, Chicago, IL 60605-3085 | 2020-07-08 |
| 1598382822 | Tiffany L Lewis | Developmental Therapist | 1648 S Kedvale Ave, Chicago, IL 60623-2732 | 2020-07-02 |
| 1992322572 | Brittany Hampton | Developmental Therapist | 25 E 123rd St, Chicago, IL 60628-6818 | 2020-06-30 |
| 1730705427 | Emma Weitzel | Developmental Therapist | 3450 N Lake Shore Dr Apt 311, Chicago, IL 60657-2855 | 2020-06-18 |
| 1467077156 | Tracee Hawthorne | Developmental Therapist | 1730 N Clark St Apt 2510, Chicago, IL 60614-5890 | 2020-06-09 |
| 1366067001 | Adriane A Harris | Developmental Therapist | 4824 S Champlain Ave Apt 3, Chicago, IL 60615-1541 | 2020-06-09 |
| 1023631892 | Sophia Zilles | Developmental Therapist | 6415 N Sheridan Rd Apt 207, Chicago, IL 60626-5301 | 2020-05-27 |
| Find all providers in CHICAGO | ||||
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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.