COURTNEY CAVANAUGH (NPI# 1275843351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275843351 |
| Entity Type | Individual |
| Full Name | COURTNEY CAVANAUGH |
| Practice Address |
555 Amory Street Jamaica Plain MA 02131 |
| Mailing Address |
15 Tennyson St West Roxbury MA 02132-6416 |
| Practice Telephone | 6173836522 |
| Practice Fax Number | 6173836520 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
555 AMORY STREET |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821322991 | Melanie Josephine Lafavre | Developmental Therapist | 555 Amory Street, 5, Jamaica Plain, MA 02130 | 2009-09-23 |
| 1922523406 | Lauren Lyon | Speech-Language Pathologist | 555 Amory Street, Jamaica Plain, MA 02130 | 2017-08-07 |
| 1720517139 | Lindsay Brainerd | Social Worker | 555 Amory Street, Suite 5, Jamaica Plain, MA 02130 | 2017-06-08 |
| 1770820995 | Sarah Coe Cox | Developmental Therapist | 555 Amory Street, Thom Boston Metro Early Intervention, Jamaica Plain, MA 02130 | 2013-01-08 |
| 1326336538 | Allison Lynn Foss | Developmental Therapist | 555 Amory Street, Jamaica Plain, MA 02130 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120513 | Wells of Wellness, LLC | Registered Nurse | 993 South Street, Apt, Suite, Floor, Etc., Roslindale, MA 02131 | 2020-10-08 |
| 1760952881 | Patricia J Dunn | Social Worker | 51 Braden Street, Roslindale, MA 02131 | 2018-12-01 |
| 1750864518 | Maria T. Alvarado | Social Worker | 18 Manusr Street, Roslindale, MA 02131 | 2018-09-07 |
| 1306342951 | Roslindale Center Chiropractic Inc | Chiropractor | 17 Corinth St, Roslindale, MA 02131 | 2018-04-03 |
| 1629511241 | Maddy Morrin | Student in an Organized Health Care Education/Training Program | 17 Archdale Rd, Roslindale, MA 02131 | 2016-11-30 |
| 1346600434 | Stephanie Messina | Student in an Organized Health Care Education/Training Program | Home for Little Wanderers Clinic, 780 American Legion Hwy, Roslindale, Ma 02131, Roslindale, MA 02131 | 2016-03-02 |
| 1497143762 | Priority Home Care Services LLC | Home Health | 43 Cummins High Way, Suite 3, Boston, MA 02131 | 2015-01-08 |
| 1841610078 | Ryan Kennedy | Student in an Organized Health Care Education/Training Program | 478 American Legion Highway, Roslindale, MA 02131 | 2014-04-28 |
| 1780011833 | Casey A Pagliaro | Marriage & Family Therapist | 4238 Washington Street, Suite 316, The Leggett Group, Roslindale, MA 02131 | 2013-10-03 |
| 1902238025 | Ann Wheeler | Social Worker | Thlw 780 American Legion Highway, Roslindale, MA 02131 | 2013-07-31 |
| Find all providers in zip 02131 | ||||
| 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 |
|---|---|---|---|---|
| 1962702985 | Julia Marie Carey | Developmental Therapist | 9 Hubbard St, Jamaica Plain, MA 02130-2211 | 2010-10-25 |
| 1821322991 | Melanie Josephine Lafavre | Developmental Therapist | 555 Amory Street, 5, Jamaica Plain, MA 02130 | 2009-09-23 |
| 1861040495 | Jennifer M Aviles I | Developmental Therapist | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2019-08-27 |
| 1912551573 | Kimberly Boscodoss | Developmental Therapist | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2019-07-31 |
| 1912563032 | Mikaela Bartels | Developmental Therapist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2019-05-14 |
| 1134680168 | Dayla M Umana | Developmental Therapist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2019-03-31 |
| 1417432923 | Yu-fan Liu | Developmental Therapist | 555 Amory St Ste 5, Jamaica Plain, MA 02130-2672 | 2018-10-01 |
| 1164900213 | Ciara M Celestin | Developmental Therapist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2018-07-31 |
| 1386134997 | Brian Steven Gomes | Developmental Therapist | 555 Amory St Ste 5, Jamaica Plain, MA 02130-2672 | 2018-05-18 |
| 1013413640 | Sairanny Rodriguez | Developmental Therapist | 555 Amory St Ste 5, Jamaica Plain, MA 02130-2672 | 2018-04-03 |
| Find all providers in JAMAICA PLAIN | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02131 |
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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.