MRS. DIANE JEAN MCCORMACK (NPI# 1063657120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063657120 |
| Entity Type | Individual |
| Full Name | MRS. DIANE JEAN MCCORMACK |
| Other Name | DIANE JEAN BERG MCCORMACK |
| Credential | MS, OTR/L |
| Practice Address |
15840 Long Lake Road Detroit Lakes MN 56501 |
| Mailing Address |
P.o. Box 1382 Detroit Lakes MN 56502 |
| Practice Telephone | 2188475071 |
| Mailing Telephone | 2182341302 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
100296 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376571729 | Diane Mccormack | Psychologist | 366 Belanger St, Grosse Pointe Farms, MI 48236-3334 | 2006-06-28 |
| Street Address |
15840 LONG LAKE ROAD |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| 1437290335 | St Mary's Regional Health Center | Assisted Living Facility | 208 Oak Street, Detroit Lakes, MN 56501 | 2007-02-12 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366716102 | Janelle L Kyllo | Occupational Therapist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2012-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689207789 | Prairie Pediatrics LLC | Occupational Therapist | 274 Central Ave, Long Prairie, MN 56347-1303 | 2020-02-17 |
| 1396385670 | Emily Ann Meehan | Occupational Therapist | 5232 Kyler Ave Ne Ste A, Albertville, MN 55301-4634 | 2020-01-14 |
| 1952851305 | Melodie Larson | Occupational Therapist | 3380 Northern Valley Pl Ne # Oi, Rochester, MN 55906-3954 | 2016-10-10 |
| 1013467984 | Maggie Caroline Mccabe | Occupational Therapist | 2399 Ariel Street N, Children's Theraplay LLC, Maplewood, MN 55109-2202 | 2016-10-04 |
| 1093264616 | Jessica Munsch | Occupational Therapist | 544 Prospect St. Ne, Hutchinson, MN 55350 | 2016-09-23 |
| 1659745156 | Alyssa Engdahl | Occupational Therapist | 5655 W 35th St, St Louis Park, MN 55416-2460 | 2015-11-20 |
| 1558763474 | Nina Moore | Occupational Therapist | 3800 Silver Bell Rd, Eagan, MN 55122-1653 | 2014-09-23 |
| 1508281023 | Alexandra Marie Hodson | Occupational Therapist | 5155 E. River Rd, Suite #403, Fridley, MN 55421 | 2014-02-20 |
| 1962827543 | Jeanette Elizabeth Biehn | Occupational Therapist | 5155 E River Rd #403, Metro Therapy, Fridley, MN 55421 | 2014-02-19 |
| 1700220613 | Kid Talk Inc | Occupational Therapist | 9400 Cedar Lake Rd S, St Louis Park, MN 55426-2361 | 2013-04-22 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
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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.