THOMAS SMITH SR. (NPI# 1972036994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972036994 |
| Entity Type | Individual |
| Full Name | THOMAS SMITH SR. |
| Practice Address |
369 E Sibley Blvd Harvey IL 60426-2530 |
| Mailing Address |
369 E Sibley Blvd Ste A Harvey IL 60426-2535 |
| Practice Telephone | 8882055532 |
| Mailing Telephone | 8882055532 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2018-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | IL | Behavioral Health & Social Service Providers | |
| Y | 106S00000X | Behavior Technician | 1093075301 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1093075301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566142 | Thomas J Smith | Nurse Practitioner | 803 Rena St, Kirksville, MO 63501-2012 | 2020-07-28 |
| 1396379962 | Thomas Thornsberry Smith | Marriage & Family Therapist | 306 Wells Ave S Unit D, Renton, WA 98057-2786 | 2020-02-23 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1407320120 | Thomas B Smith | Non-emergency Medical Transport (VAN) | 2000 Abbott Cv, Cordova, TN 38016-3526 | 2019-01-15 |
| 1952802357 | Thomas Lloyd Smith Jr. | Contractor | 12291 Commonwealth Avenue, Exmore, VA 23350-1371 | 2018-02-22 |
| 1730614553 | Thomas E Smith | Social Worker | 2940 E Park Ave, Suite 1a, Tallahassee, FL 32301-3446 | 2017-04-30 |
| 1417292749 | Thomas Anson Smith | Ophthalmology | 9830 Lakeshore, West Olive, MI 49460-9553 | 2012-11-27 |
| 1710230750 | Thomas Joseph Smith | Pharmacist | W166n10560 Surrey Dr, Germantown, WI 53022-3948 | 2012-10-15 |
| 1679724280 | Thomas Seldon Smith Jr. | Dentist | 130 Us Hwy 64e, Laurel Terrace Unit 12, Cashiers, NC 28717-0451 | 2008-10-02 |
| 1144488057 | Thomas A Smith | Specialist | 10447 Hart Branch Cir, Orlando, FL 32832-5915 | 2008-05-28 |
| Street Address |
369 E SIBLEY BLVD |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093075301 | Psycynergy Psychological Services PC | Counselor | 369 E Sibley Blvd, Suite A, Harvey, IL 60426-2530 | 2012-05-21 |
| 1407204944 | Jerry Weems | Counselor | 369 E Sibley Blvd, Suite A, Harvey, IL 60426-2530 | 2016-05-25 |
| 1437515541 | Psycynergy Psychological Services | Counselor | 369 E Sibley Blvd, Suite A, Harvey, IL 60426-2530 | 2016-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832148 | Odina Michel | Behavior Technician | 1148 Orange Blossom Ln, Harvey, LA 70058-4809 | 2020-08-20 |
| 1538601521 | Shirley Brown | Behavior Technician | 3921 Nathan Kornman Dr, Harvey, LA 70058-2037 | 2016-11-08 |
| 1619419728 | Cherkaoui Jones | Behavior Technician | 828 1st Ave, Harvey, LA 70058-2631 | 2016-11-07 |
| 1174069256 | Amanda Starr | Behavior Technician | 1901 Westbank Expy, Harvey, LA 70058-4366 | 2017-01-12 |
| 1427593623 | Daysha Camp | Behavior Technician | 1901 Westbank Expy, Suite 550, Harvey, LA 70058-4366 | 2016-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083026 | Janani P Iyer | Behavior Technician | 2865 Clara Ave, Aurora, IL 60502-9641 | 2020-11-03 |
| 1932707775 | Jodi L Oller | Behavior Technician | 3921 Pintail Dr, Springfield, IL 62711-6738 | 2020-10-14 |
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1447858675 | Candace Marie Strong | Behavior Technician | 5310 W Cermak Rd, Cicero, IL 60804-2816 | 2020-10-10 |
| 1154928430 | Lenia Harris | Behavior Technician | 6353 S Rockwell St, Chicago, IL 60629-1631 | 2020-10-08 |
| 1083221832 | Halle Rickhoff | Behavior Technician | 8660 Red Fox Rd, Bartelso, IL 62218-1306 | 2020-09-25 |
| 1144836065 | Sonia Wilson | Behavior Technician | 15045 Oak St, Dolton, IL 60419-2640 | 2020-09-16 |
| 1104431105 | Calvin Alexander | Behavior Technician | 715 Foster St, Evanston, IL 60201-3201 | 2020-09-15 |
| 1316552813 | Yasmin Muhammad | Behavior Technician | 113 W 112th Pl, Chicago, IL 60628-4829 | 2020-09-11 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 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.