MS. MARY DEBRA DOHERTY (NPI# 1720371842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720371842 |
| Entity Type | Individual |
| Full Name | MS. MARY DEBRA DOHERTY |
| Credential | D.T. |
| Practice Address |
4456 N Sawyer Ave Chicago IL 60625-4513 |
| Practice Telephone | 7735393522 |
| Mailing Telephone | 7735393522 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124509203 | Mary Katherine Doherty | Counselor | 54 Plymouth Ave, Swampscott, MA 01907-1143 | 2018-08-27 |
| 1295116796 | Mary Doherty | Counselor | 28922 Lorain Rd Ste 100, North Olmsted, OH 44070-4053 | 2015-06-11 |
| 1700149291 | Mary Doherty | Early Intervention Provider Agency | 68 Fitchburg St, Bay Shore, NY 11706-4638 | 2012-06-19 |
| 1265708390 | Mary Caitlin Doherty | Counselor | 609 N Shore Dr, Bellingham, WA 98226-4414 | 2012-03-22 |
| 1043507619 | Mary M Doherty | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2011-07-05 |
| 1427367606 | Mary Teresa Doherty | Acupuncturist | 308 W Baseline Rd, Lafayette, CO 80026-1719 | 2010-10-05 |
| 1871801233 | Mary Dolores Doherty | Nurse Practitioner | 243 Charles Street, Anesthesia Department, Boston, MA 02114 | 2010-09-20 |
| 1255479564 | Mary K. Doherty | Counselor | 8540 Verree Rd, Philadelphia, PA 19111-1325 | 2007-02-01 |
| 1013070077 | Mary Ellen Doherty | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2006-12-19 |
| 1578540589 | Mary E. Doherty | Nurse Practitioner | 1221 Main St, South Weymouth, MA 02190-1561 | 2005-12-30 |
| Street Address |
4456 N SAWYER AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| 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 |
|---|---|---|---|---|
| 1477150506 | Quanita Crawford | Developmental Therapist | 3734 W Cortland St Apt 303, Chicago, IL 60647-7565 | 2020-10-01 |
| 1235746975 | Dominique Scott | Developmental Therapist | 5342 S Wells St, Chicago, IL 60609-6219 | 2020-09-27 |
| 1669083424 | Lindsay Miner | Developmental Therapist | 2272 W Leland Ave # 1e, Chicago, IL 60625-2006 | 2020-08-13 |
| 1841818663 | Lauren Lansdale | Developmental Therapist | 1322 S Prairie Ave Unit 1709, Chicago, IL 60605-3085 | 2020-07-08 |
| 1598382822 | Tiffany L Lewis | Developmental Therapist | 1648 S Kedvale Ave, Chicago, IL 60623-2732 | 2020-07-02 |
| 1992322572 | Brittany Hampton | Developmental Therapist | 25 E 123rd St, Chicago, IL 60628-6818 | 2020-06-30 |
| 1730705427 | Emma Weitzel | Developmental Therapist | 3450 N Lake Shore Dr Apt 311, Chicago, IL 60657-2855 | 2020-06-18 |
| 1467077156 | Tracee Hawthorne | Developmental Therapist | 1730 N Clark St Apt 2510, Chicago, IL 60614-5890 | 2020-06-09 |
| 1366067001 | Adriane A Harris | Developmental Therapist | 4824 S Champlain Ave Apt 3, Chicago, IL 60615-1541 | 2020-06-09 |
| 1023631892 | Sophia Zilles | Developmental Therapist | 6415 N Sheridan Rd Apt 207, Chicago, IL 60626-5301 | 2020-05-27 |
| Find all providers in CHICAGO | ||||
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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.