JILLIAN MAXFIELD


Address: 1045 James St, Syracuse, NY 13203-2730
Phone: 3154251004

JILLIAN MAXFIELD (NPI# 1922654060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922654060
Entity Type Individual
Full Name JILLIAN MAXFIELD
Credential OTR/L
Practice Address 1045 James St
Syracuse
NY 13203-2730
Practice Telephone 3154251004
Practice Fax Number 3154224855
Mailing Telephone 3154251004
Mailing Fax Number 3154224855
Enumeration Date 2019-08-14
Last Update Date 2019-08-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist 023807-01 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1045 JAMES ST
City SYRACUSE
State NY
Zip Code 13203-2730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013912153 Alida Anne Dejong Registered Nurse 1045 James St, Syracuse, NY 13203-2730 2005-06-16
1326648395 Liberty Resources Psychology, Physical, Occupational and Speech Therap Early Intervention Provider Agency 1045 James St, Syracuse, NY 13203-2730 2020-10-29
1083211619 Tracy L. Eckstrand Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-10-06
1306458070 Amy Marie Ruetsch Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-08-23
1891306742 Nichole Dawn Slate Social Worker 1045 James St, Syracuse, NY 13203-2730 2020-08-13
1245849280 Louis Shirley Peer Specialist 1045 James St, Syracuse, NY 13203-2730 2020-07-27
1083232367 Melissa Louise Potter Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-07-13
1881221885 Kirsten Melville Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-03-27
1699302380 Jennifer Breau Counselor 1045 James St, Syracuse, NY 13203-2730 2020-03-24
1679109771 Lora M Denero Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-03-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659998193 Allison Elizabeth Mills Social Worker 1045 James St., Syracuse, NY 13203 2020-07-01
1467004333 Humanitarian Organization for Multicultural Experiences, Inc. Psychologist 831 James Street, Syracuse, NY 13203 2019-07-11
1215405287 Wellness Therapy Services Lcsw, Pllc Counselor Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 2018-11-08
1962904912 Michael Musante Developmental Therapist 1045 James Streret, Syracuse, NY 13203 2018-03-06
1811410236 Lindsey Deborah Sanborn Nurse Practitioner 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 2017-07-18
1497205975 Phuong Pham Counselor 329 North Salina Street, Syracuse, NY 13203 2016-10-10
1942754015 Shelly Lynn Peters Nurse Practitioner 329 N. Salina Street, Helio Health, Syracuse, NY 13203 2016-08-06
1932574217 Kaleigh Marie Andino Audiologist 1001 James Street, Syracuse, NY 13203 2015-12-11
1376889493 Brenda S Hartman-souder Social Worker 526 Oak St., Syracuse, NY 13203 2012-12-18
1386914711 Steven W Dimarzo Counselor 404 Oak St Ste 320, Syracuse, NY 13203 2012-01-02
Find all providers in zip 13203

Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962904912 Michael Musante Developmental Therapist 1045 James Streret, Syracuse, NY 13203 2018-03-06
1083211619 Tracy L. Eckstrand Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-10-06
1306458070 Amy Marie Ruetsch Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-08-23
1083232367 Melissa Louise Potter Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-07-13
1881221885 Kirsten Melville Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-03-27
1679109771 Lora M Denero Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-03-20
1437784881 Robin Lee Pierce Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2020-03-05
1326685827 Katherine Elizabeth Verdi Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2019-12-03
1790335826 Mara T Kinney Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2019-09-20
1669029252 Devin Emillina Case Developmental Therapist 1045 James St, Syracuse, NY 13203-2730 2019-08-20
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13203

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Dataset Information

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.

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