MS. TRACIE MARA GAGNE (NPI# 1164724282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164724282 |
Entity Type | Individual |
Full Name | MS. TRACIE MARA GAGNE |
Practice Address |
235 Chestnut St Springfield MA 01103-1100 |
Mailing Address |
76 Village Drive Apt. 331 Wethersfield CT 06109 |
Practice Telephone | 4137344978 |
Mailing Telephone | 4137344978 |
Enumeration Date | 2010-11-22 |
Last Update Date | 2010-11-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | 1396871067 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1396871067 | 05 |
Street Address |
235 CHESTNUT ST |
City | SPRINGFIELD |
State | MA |
Zip Code | 01103-1100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770621104 | Heather Lynn Bachmann-baez | Counselor | 235 Chestnut St, Springfield, MA 01103-1100 | 2007-02-01 |
1093094138 | Melissa Beaton | Social Worker | 235 Chestnut St, Springfield, MA 01103-1100 | 2011-08-08 |
1255619284 | Ashley Cox | Case Manager/Care Coordinator | 235 Chestnut St, Springfield, MA 01103-1100 | 2011-07-25 |
1699061614 | Sarah Ellen Walker | Social Worker | 235 Chestnut St, Springfield, MA 01103-1100 | 2011-06-28 |
1255623211 | Esther D Dorival | Case Manager/Care Coordinator | 235 Chestnut St, Springfield, MA 01103-1100 | 2011-05-10 |
1053602193 | Kathleen H Auble | Social Worker | 235 Chestnut St, Springfield, MA 01103-1100 | 2011-04-24 |
1841589009 | Mary Elizabeth Holland-duggan | Specialist/Technologist | 235 Chestnut St, Springfield, MA 01103-1100 | 2011-03-28 |
1336453042 | Laura Richardson | Counselor | 235 Chestnut St, Springfield, MA 01103-1100 | 2010-08-05 |
1770897571 | Carmen M Martinez | Counselor | 235 Chestnut St, Springfield, MA 01103-1100 | 2010-08-04 |
1699091132 | Wayne M Allen | Social Worker | 235 Chestnut St, Springfield, MA 01103-1100 | 2010-04-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
Find all providers in zip 01103 |
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 |
---|---|---|---|---|
1841789344 | Felicia Ann Mcguinn | Developmental Therapist | 736 N Bruns Ln Apt B, Springfield, IL 62702-6668 | 2018-05-09 |
1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
1235559568 | Sarah Colburn | Developmental Therapist | 4927 Margaret Ave, Springfield, IL 62711-9239 | 2014-04-25 |
1790105757 | Barbara Fiedler | Developmental Therapist | 209 Bellerive Rd, Springfield, IL 62704-6205 | 2014-04-17 |
1396081584 | Louise Elizabeth Johnson | Developmental Therapist | 420 Yeoman Dr, Springfield, IL 62704-5240 | 2012-12-17 |
1568722015 | Rebecca Ann Dobbs | Developmental Therapist | 927 N 8th St, Springfield, IL 62702-3939 | 2012-05-17 |
1588922397 | Maria Christine Gallina | Developmental Therapist | 1012 W Fayette Ave Apt 2, Springfield, IL 62704-2491 | 2012-04-30 |
1851663272 | Barbara J Kelley | Developmental Therapist | 624 S Walnut St, Springfield, IL 62704-2518 | 2012-01-31 |
1376828483 | Reagan Egan | Developmental Therapist | 3314 Ashley Ln, Springfield, IL 62711-8257 | 2011-10-20 |
1487955506 | Fawn Ann Folkerts | Developmental Therapist | 4504 Blackwolf Rd, Springfield, IL 62711-7871 | 2010-11-04 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01103 |
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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.