MRS. MICHELLE PETERSON (NPI# 1619169901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619169901 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE PETERSON |
| Credential | DEVELOPMENTAL THERAP |
| Practice Address |
579 Riford Rd Glen Ellyn IL 60137-4236 |
| Practice Telephone | 6308582336 |
| Practice Fax Number | 6309420377 |
| Mailing Telephone | 6308582336 |
| Mailing Fax Number | 6309420377 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316358 | Michelle Hill Peterson | Counselor | 311 Bluebell Dr, Glenn Heights, TX 75154-8760 | 2020-11-03 |
| 1700325883 | Michelle Renae Peterson | Nurse Practitioner | 2529 Madison St, Bellevue, NE 68005-5366 | 2017-02-22 |
| 1598117939 | Michelle Danielle Peterson | Counselor | 27 Hiawatha Ct, Midland Park, NJ 07432-1005 | 2016-07-11 |
| 1609103779 | Michelle Peterson | Massage Therapist | 14040 Ne 8th St Ste 214, Bellevue, WA 98007-4138 | 2009-11-11 |
| 1851354153 | Michelle C Peterson | Marriage & Family Therapist | 7600 Parklawn Ave, Edina, MN 55435 | 2006-04-08 |
| 1447811708 | Michelle L Peterson | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2019-06-26 |
| 1689234288 | Michelle Peterson | Social Worker | 1499 Sixth Street, Green Bay, WI 54304 | 2019-06-17 |
| 1932664257 | Michelle Peterson | Social Worker | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-02-01 |
| 1538630579 | Michelle Ashley Edwards Peterson | Nurse Practitioner | 3505 S Mercy Rd, Gilbert, AZ 85297-0427 | 2018-12-17 |
| 1366954075 | Michelle Peterson | Social Worker | 199 S Central Ave, Columbus, OH 43223-1301 | 2017-11-03 |
| Street Address |
579 RIFORD RD |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| 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 |
|---|---|---|---|---|
| 1649737693 | Mary Irene Lauinger | Developmental Therapist | 22w546 Sycamore Dr, Glen Ellyn, IL 60137-7432 | 2019-02-26 |
| 1336623131 | Ashley Margaret Biro | Developmental Therapist | 390 Spruce Ln Apt 103, Glen Ellyn, IL 60137-6646 | 2018-09-18 |
| 1992235063 | Kathryn Elaine Stockwell | Developmental Therapist | 166 S Park Blvd, Glen Ellyn, IL 60137-6351 | 2017-06-12 |
| 1144755208 | Beth Sances | Developmental Therapist | 508 Taylor Ave Apt F, Glen Ellyn, IL 60137-4635 | 2017-04-26 |
| 1306104096 | Connie Deluca | Developmental Therapist | 22w477 Sycamore Dr, Glen Ellyn, IL 60137-7453 | 2012-05-01 |
| 1689940454 | Tammi Sue Madden | Developmental Therapist | 232 Regent St, Glen Ellyn, IL 60137-5318 | 2012-03-27 |
| 1700175056 | Nancy Regan | Developmental Therapist | 22w260 Glen Valley Dr, Glen Ellyn, IL 60137-6875 | 2011-04-06 |
| 1588971022 | Patricia B Price | Developmental Therapist | 531 Dawes Ave, Glen Ellyn, IL 60137-6308 | 2010-09-03 |
| 1093030629 | Annamarie Hayner | Developmental Therapist | 22w165 Glen Park Rd, Glen Ellyn, IL 60137-7079 | 2010-04-07 |
| 1427207596 | Anne Catherine Maciejewski | Developmental Therapist | 2s524 Danbury Dr, Glen Ellyn, IL 60137-7159 | 2008-09-15 |
| Find all providers in GLEN ELLYN | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
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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.