MRS. DONNA MARGARET CARRILLO (NPI# 1194168765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194168765 |
Entity Type | Individual |
Full Name | MRS. DONNA MARGARET CARRILLO |
Credential | MAT |
Practice Address |
15834 Clayton Rd. Ellisville MO 63011 |
Practice Telephone | 6362272339 |
Practice Fax Number | 6362278711 |
Mailing Telephone | 6362272339 |
Mailing Fax Number | 6362278711 |
Enumeration Date | 2013-04-12 |
Last Update Date | 2013-04-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295729630 | Donna Carrillo | Nurse Practitioner | 3940 Dupont Cir, Louisville, KY 40207-4806 | 2005-08-31 |
Street Address |
15834 CLAYTON RD. |
City | ELLISVILLE |
State | MO |
Zip Code | 63011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225478738 | Olivia Beth Albers | Occupational Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
1083918692 | Contemporary Vision Center, LLC | Optometrist | 971 Brittany Parkway Drive, Manchester, MO 63011 | 2010-12-23 |
Find all providers in zip 63011 |
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 |
---|---|---|---|---|
1144691395 | Terissa Kay Curtis | Developmental Therapist | 1286 S Highway W, Elsberry, MO 63343-4039 | 2015-10-14 |
1164775417 | Michelle Lynn Ketterer | Developmental Therapist | 1330 Hollins St, Saint Louis, MO 63135-1244 | 2012-10-24 |
1053660902 | Sadonna Devaney | Developmental Therapist | 1315 Se Alice St, Blue Springs, MO 64014-3636 | 2012-09-06 |
1285995688 | Catherine Anne Harris | Developmental Therapist | 226 Se Douglas, Suite 205, Lee's Summit, MO 64081 | 2012-06-01 |
1295006872 | Lisa Michelle Booth | Developmental Therapist | 9409 E 65th St, Raytown, MO 64133-4920 | 2012-01-13 |
1619272846 | Westbrook Academy Childcare and Learning Center | Developmental Therapist | 4045 Jeffco Blvd, Arnold, MO 63010-4213 | 2011-01-19 |
1700194503 | Elizabeth Anne Cooper | Developmental Therapist | 914 Concordia Ln Apt 2s, Clayton, MO 63105 | 2010-09-15 |
1235461617 | Angela Kay Newbury | Developmental Therapist | 7848 Leona St, Saint Louis, MO 63123-7725 | 2010-02-09 |
1508091240 | Cortney Lynn Thompson | Developmental Therapist | 1855 Evondale Drive, Cape Girardeau, MO 63701 | 2009-05-26 |
1902022809 | Lindsay A Wayne | Developmental Therapist | 5030 Mcree Ave, Saint Louis, MO 63110-2046 | 2007-04-18 |
Find all providers with the same taxonomy |
City | ELLISVILLE |
Zip Code | 63011 |
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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.