DOMINIQUE ANGELA SULLIVAN (NPI# 1679036214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679036214 |
| Entity Type | Individual |
| Full Name | DOMINIQUE ANGELA SULLIVAN |
| Practice Address |
2901 Finley Rd Ste 102 Downers Grove IL 60515 |
| Mailing Address |
2901 Finley Rd Ste 102 Downers Grove IL 60515-1774 |
| Practice Telephone | 6304956800 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Ovaltine Ct Unit 933, Villa Park, IL 601812788 | 7087454107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598239519 | Dominique Sullivan | Specialist/Technologist | 538 Swan Range Rd, Orange City, FL 32763-6676 | 2019-01-12 |
| 1811475585 | Dominique Lamere Sullivan | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2018-08-03 |
| Street Address |
2901 FINLEY RD STE 102 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245306752 | Susan M Raad | Speech-Language Pathologist | 2901 Finley Rd Ste 102, Communication Clubhouse, Downers Grove, IL 60515-1774 | 2006-11-27 |
| 1346858032 | Jemma Grogan | Occupational Therapist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2020-07-19 |
| 1467074047 | Jordan Norwood | Behavioral Analyst | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2020-05-18 |
| 1366094872 | Megan Steichen | Speech-Language Pathologist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2019-07-15 |
| 1336603885 | Monika Griffel | Speech-Language Pathologist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2019-01-29 |
| 1104380112 | Ashley Weppner | Occupational Therapist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2019-01-23 |
| 1043717531 | Shelby Gunderson | Speech-Language Pathologist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2018-04-10 |
| 1518462977 | Sarah Alter | Occupational Therapist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2018-03-28 |
| 1780111963 | Jennifer Jones | Behavioral Analyst | 2901 Finley Rd Ste 102, Downers Grove, IL 60515 | 2017-05-18 |
| 1972041960 | Madeline Boltin | Behavioral Analyst | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2017-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| 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 |
|---|---|---|---|---|
| 1194273698 | Jamie Davidson | Developmental Therapist | 5832 Walnut Ave, Apt. 1b, Downers Grove, IL 60516-6018 | 2016-09-14 |
| 1093171464 | Katrina Bowen | Developmental Therapist | 743 Ridgeview St, Downers Grove, IL 60516-3902 | 2016-01-14 |
| 1083079685 | Little Green Pipsqueak | Developmental Therapist | 4620 Highland Ave, Downers Grove, IL 60515-2814 | 2015-12-23 |
| 1851709869 | Laura Litterst | Developmental Therapist | 4030 Main St, Downers Grove, IL 60515-2144 | 2014-07-23 |
| 1760745855 | Amy Savage | Developmental Therapist | 4043 Saratoga Ave, #215, Downers Grove, IL 60515-2062 | 2012-06-22 |
| 1316213424 | Catherine Schlueter | Developmental Therapist | 6570 Springside Ave, Downers Grove, IL 60516-2453 | 2012-03-23 |
| 1659651776 | Amy Columbus | Developmental Therapist | 1048 Ogden Ave Ste 130, Downers Grove, IL 60515-2896 | 2011-08-20 |
| 1770806655 | Mary Ellen Drobnik | Developmental Therapist | 4505 Stonewall Ave, Downers Grove, IL 60515-2650 | 2010-03-08 |
| 1265631386 | Stephanie Michele Rice | Developmental Therapist | 609 67th St, Downers Grove, IL 60516-3019 | 2007-07-18 |
| 1972727352 | Cynthia D Kass | Developmental Therapist | 843 Stratford Ln, Downers Grove, IL 60516-1974 | 2007-04-13 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
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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.