RACHAEL FAYE DOMPKE (NPI# 1417339987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417339987 |
| Entity Type | Individual |
| Full Name | RACHAEL FAYE DOMPKE |
| Credential | LCSW |
| Practice Address |
988 N Illinois Route 3 Waterloo IL 62298-1000 |
| Mailing Address |
988 N Illinois Route 3 Po Box 146 Waterloo IL 62298-1000 |
| Practice Telephone | 6189394444 |
| Practice Fax Number | 6189394181 |
| Mailing Telephone | 6189394444 |
| Mailing Fax Number | 6189394181 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 370968305 | IL | Behavioral Health & Social Service Providers |
| Street Address |
988 N ILLINOIS ROUTE 3 |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427059476 | Melissa I. Harris | Counselor | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2005-08-02 |
| 1104425826 | Lindsey Maag | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-10-23 |
| 1124638564 | Anneleyce Dunlop | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-07-31 |
| 1609404367 | Emma Schmidt | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-03-30 |
| 1245868900 | Kizzy Partee | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-03-30 |
| 1245863612 | Daniel Valleroy | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-13 |
| 1982237350 | Thea Palermo | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-13 |
| 1255963997 | Kristen Harris | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-11 |
| 1013549765 | Amanda Sehr | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-11 |
| 1467084111 | Trisha Talamantes | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
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|---|---|---|---|---|
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| 1891043790 | Jessica Mary Fletcher | Behavioral Analyst | 3322 N 265th Ct, Waterloo, NE 68069-5820 | 2012-08-27 |
| 1740711803 | Mary Jo Renzaglia-weir | Behavioral Analyst | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2017-03-21 |
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| 1902411069 | Timeica E Bethel | Behavioral Analyst | 47 W Polk St Ste 100-240, Chicago, IL 60605-2000 | 2020-09-14 |
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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.