MICHELENA ANNETTE RILES HENDY (NPI# 1588068886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588068886 |
| Entity Type | Individual |
| Full Name | MICHELENA ANNETTE RILES HENDY |
| Credential | RBT |
| Practice Address |
690 N Reilly Rd Fayetteville NC 28303-5724 |
| Mailing Address |
232 Tiverton Street Fayetteville NC 28314 |
| Practice Telephone | 9109870469 |
| Mailing Telephone | 9108498619 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2018-12-23 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 1588068886 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Fairway Dr. Ste 102, Butterfly Effects LLC, Deerfield Beach, FL 33441 | 8888809270 |
| Street Address |
690 N REILLY RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396884128 | Chauntel Marie Summers | Counselor | 690 N Reilly Rd, Ste, 3, Fayetteville, NC 28303-5724 | 2007-02-06 |
| 1073054383 | Great Minds Think Alike, Pllc | Counselor | 690 N Reilly Rd, Suite 9, Fayetteville, NC 28303-5724 | 2017-03-20 |
| 1235533712 | Shanica Jones-colson | Counselor | 690 N Reilly Rd, Fayetteville, NC 28303-5724 | 2014-10-13 |
| 1013326222 | R4 Therapeutic Solutions, Pllc | Community/Behavioral Health | 690 N Reilly Rd, Suite 2, Fayetteville, NC 28303-5724 | 2014-08-13 |
| 1235543448 | Life Support Counseling, Pllc | Social Worker | 690 N Reilly Rd, Suite # 214, Fayetteville, NC 28303-5724 | 2014-06-16 |
| 1457698268 | Ebony Brown | Social Worker | 690 N Reilly Rd, Fayetteville, NC 28303-5724 | 2013-01-14 |
| 1902124191 | Community Connections Healthcare Services, LLC | Counselor | 690 N Reilly Rd, Fayetteville, NC 28303-5724 | 2010-05-12 |
| 1073748992 | Community Connections Healthcare Services, LLC | Psychologist | 690 N Reilly Rd, Fayetteville, NC 28303-5724 | 2009-05-21 |
| 1710108550 | Hope for The Heart Home Care Agency, Inc. | Home Health | 690 N Reilly Rd, Suite 8, Fayetteville, NC 28303-5724 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| 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 |
|---|---|---|---|---|
| 1225670052 | Raquel Barden | Developmental Therapist | 711 Dude Ct, Fayetteville, NC 28303-3136 | 2019-10-14 |
| 1881155372 | Shatoya Williamson | Developmental Therapist | 3330 Harbour Pointe Pl Unit 7, Fayetteville, NC 28314-1764 | 2019-03-27 |
| 1467824227 | Stephania Romaine Walters | Developmental Therapist | 1231 Chimney Swift Dr, Fayetteville, NC 28306-3565 | 2015-10-20 |
| 1952726531 | Taylor Keegan | Developmental Therapist | 501 Cypress Trace Dr, Fayetteville, NC 28314-1089 | 2014-02-19 |
| 1063851475 | Lauren Christyn Darbie | Developmental Therapist | 419 Georgetown Cir, Fayetteville, NC 28314-1728 | 2013-06-19 |
| 1740535251 | Brandi Lachell Johnson | Developmental Therapist | 4830 Tippit Trl, Fayetteville, NC 28306-3915 | 2012-07-20 |
| 1306139506 | Wendy June Jekel | Developmental Therapist | 7014 Bronwyn St, Fayetteville, NC 28314-2850 | 2011-05-20 |
| 1134427156 | Orsolya Toth | Developmental Therapist | 3243 N Kings Cross, Fayetteville, AR 72703-4527 | 2011-03-01 |
| 1396065371 | Megan Ann Weeks | Developmental Therapist | 6845 Wimbledon Cir Apt 302, Fayetteville, NC 28314-1978 | 2010-06-01 |
| 1154558880 | Annette Maria Fernandez | Developmental Therapist | 7202 Godfrey Dr, Fayetteville, NC 28303-2405 | 2009-06-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on MICHELENA ANNETTE RILES HENDY.
| 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.