CANDACE PICKENS-CANTRELL


Address: 8542 S Normal Ave, Chicago, IL 60620-2151
Phone: 7733981404

CANDACE PICKENS-CANTRELL (NPI# 1245756147) 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) 1245756147
Entity Type Individual
Full Name CANDACE PICKENS-CANTRELL
Practice Address 8542 S Normal Ave
Chicago
IL 60620-2151
Practice Telephone 7733981404
Mailing Telephone 7733981404
Enumeration Date 2017-08-22
Last Update Date 2017-08-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 8542 S NORMAL AVE
City CHICAGO
State IL
Zip Code 60620-2151

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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

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1841818663 Lauren Lansdale Developmental Therapist 1322 S Prairie Ave Unit 1709, Chicago, IL 60605-3085 2020-07-08
1598382822 Tiffany L Lewis Developmental Therapist 1648 S Kedvale Ave, Chicago, IL 60623-2732 2020-07-02
1992322572 Brittany Hampton Developmental Therapist 25 E 123rd St, Chicago, IL 60628-6818 2020-06-30
1730705427 Emma Weitzel Developmental Therapist 3450 N Lake Shore Dr Apt 311, Chicago, IL 60657-2855 2020-06-18
1467077156 Tracee Hawthorne Developmental Therapist 1730 N Clark St Apt 2510, Chicago, IL 60614-5890 2020-06-09
1366067001 Adriane A Harris Developmental Therapist 4824 S Champlain Ave Apt 3, Chicago, IL 60615-1541 2020-06-09
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Competitor

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City CHICAGO
Zip Code 60620

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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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