YVONNE PARK (NPI# 1912558909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912558909 |
| Entity Type | Individual |
| Full Name | YVONNE PARK |
| Practice Address |
5247 E 600 S-57 Churubusco IN 46723-9111 |
| Practice Telephone | 2606090429 |
| Mailing Telephone | 2606090429 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Q00000X | Developmental Therapist | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5247 E 600 S-57 |
| City | CHURUBUSCO |
| State | IN |
| Zip Code | 46723-9111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144348202 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 5990 E 500 North, Churubusco, IN 46723 | 2007-03-27 |
| 1962562637 | Churubusco Family Medicine & Urgent Care | Family Medicine | 202 West Whitley Street, Churubusco, IN 46723 | 2006-12-11 |
| 1972622413 | Smith Green Community Schools | Local Education Agency (LEA) | 222 W Tulley St, Churubusco, IN 46723-1414 | 2007-03-28 |
| 1508082272 | Richard Edward Zollinger | Dentist | 230 E Whitley St # 265, Churubusco, IN 46723-1506 | 2007-04-18 |
| 1235148115 | Kimberly Lou Sajdak | Chiropractor | 208 E Whitley St, Churubusco, IN 46723-1506 | 2006-08-07 |
| 1699792622 | Dionne Justine Hladin | Dentist | 230 E Whitley St, Churubusco, IN 46723-1506 | 2006-07-16 |
| 1558710939 | Emily Berning Johnson | Dentist | 230 E Whitley St, Churubusco, IN 46723-1506 | 2016-06-07 |
| 1205132537 | Biddle Chiropractic, P.C. | Chiropractor | 208 E Whitley St, Churubusco, IN 46723-1506 | 2011-02-03 |
| 1336310218 | Churubusco Family Dentistry, LLC | Clinic/Center | 230 E Whitley St, Churubusco, IN 46723-1506 | 2008-03-18 |
| 1417172321 | Russell Eric Gilliom | Dentist | 230 E Whitley St, Churubusco, IN 46723-1506 | 2007-04-16 |
| Find all providers in zip 46723 | ||||
| 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 |
|---|---|---|---|---|
| 1952918757 | Alayna Kaye Gray | Developmental Therapist | 3825 S Woods Edge Bnd, Bloomington, IN 47401-8436 | 2020-09-25 |
| 1184236168 | Debbie Hargett | Developmental Therapist | 3911 Polk Rd, Boonville, IN 47601-8617 | 2020-08-20 |
| 1023620598 | Sarah C Dennis | Developmental Therapist | 1809 Columbus Blvd, Kokomo, IN 46901-1871 | 2020-08-17 |
| 1831709112 | Holly Ann Brinker | Developmental Therapist | 1302 Wallace Ave, Indianapolis, IN 46201-1844 | 2020-08-03 |
| 1245848746 | Bayley Brutus | Developmental Therapist | 3149 Congress Dr, Kokomo, IN 46902-8032 | 2020-07-21 |
| 1003431859 | Michele L Lloyd | Developmental Therapist | 975 S 650 E, Montgomery, IN 47558-5592 | 2020-06-08 |
| 1063032274 | Sharon Lynn Dalton | Developmental Therapist | 9957 S State Road 335, Pekin, IN 47165 | 2020-04-17 |
| 1457987612 | Sonya Overman | Developmental Therapist | 18241 County Road 40, Goshen, IN 46526-5447 | 2020-03-19 |
| 1144854449 | Karen M Moore | Developmental Therapist | 26191 Pocket Rd Apt 2, Batesville, IN 47006-9617 | 2020-02-25 |
| 1598397754 | Shannon Deann Belt | Developmental Therapist | 6084 N Daden Dr, Alexandria, IN 46001-9227 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | CHURUBUSCO |
| Zip Code | 46723 |
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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.