MRS. LANISE JOHNSON (NPI# 1871038091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871038091 |
| Entity Type | Individual |
| Full Name | MRS. LANISE JOHNSON |
| Practice Address |
399 Merrill Ave Calumet City IL 60409-2227 |
| Practice Telephone | 7082033760 |
| Mailing Telephone | 7082033760 |
| Enumeration Date | 2016-12-24 |
| Last Update Date | 2016-12-24 |
| 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 |
| Street Address |
399 MERRILL AVE |
| City | CALUMET CITY |
| State | IL |
| Zip Code | 60409-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159832 | Victory Pharmacy of Decatur Inc | Pharmacy | 1837 River Oaks Rd, Calumet City, IL 60409 | 2018-10-03 |
| 1801336961 | It's About Change Sober Living, Inc. | Community/Behavioral Health | 1604 Horbor St., Calumet City, IL 60409 | 2017-03-08 |
| 1750832986 | Jeffrey Mcneil | Social Worker | 660 Memorial Dr., Calumet City, IL 60409 | 2016-10-24 |
| 1578855219 | Cherechi V Onyenso | Nurse Practitioner | 1473 Ring Ring Road, Great Heights Family Medicine, Calumet City, IL 60409 | 2011-05-13 |
| 1205097607 | Michael Peter Weisberg | Ophthalmology | 1700 East West Road, Calumet City, IL 60409 | 2008-06-19 |
| 1861694333 | County of Cook | Local Education Agency (LEA) | 1255 Superior Ave, Calumet City, IL 60409 | 2007-06-05 |
| 1689875585 | Calumet City School District #155 | Local Education Agency (LEA) | Memorial Dr and Superior, Calumet City, IL 60409 | 2007-05-29 |
| 1932224185 | Micah K Swansey Sr. | Psychologist | 593 Burnham Avenue, Calumet City, IL 60409 | 2007-03-20 |
| 1184768210 | Beverly Williamson | Optometrist | 200 River Oaks Drive, Calumet City, IL 60409 | 2007-02-20 |
| 1205978863 | Dillons Dental Services LLC | Dentist | 2000 E 159th St, Calumet City, IL 60409 | 2007-02-12 |
| Find all providers in zip 60409 | ||||
| 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 |
|---|---|---|---|---|
| 1588280234 | Tara George | Developmental Therapist | 403 159th St, Calumet City, IL 60409-5325 | 2020-06-18 |
| 1770141301 | Tamisha Bufford | Developmental Therapist | 604 Paxton Ave, Calumet City, IL 60409-3819 | 2019-05-29 |
| 1245798891 | Brandy Simone Henley | Developmental Therapist | 109 Forestdale Park, Calumet City, IL 60409-5309 | 2019-03-03 |
| 1356808984 | Deshelle Mason | Developmental Therapist | 1945 Wilson Ave, Calumet City, IL 60409-2972 | 2019-03-01 |
| 1568818904 | Learn Through Play Developmental Therapy Services P/c | Developmental Therapist | 680 Wentworth Ave, Calumet City, IL 60409-6718 | 2016-05-04 |
| 1043695943 | Nakitta Wrightsell | Developmental Therapist | 518 Jeffery Ave, Apt 2, Calumet City, IL 60409-2834 | 2015-07-21 |
| 1376952432 | Shayna Watkins | Developmental Therapist | 1390 Forest Ave, Calumet City, IL 60409-6046 | 2014-08-03 |
| 1992066856 | Natasha Matthews | Developmental Therapist | 1029 Burnham Ave., Calumet City, IL 60409-5140 | 2012-06-06 |
| 1053699835 | Cynthia A. Boykin | Developmental Therapist | 361 166th St, Calumet City, IL 60409-6216 | 2011-07-28 |
| 1982931713 | Yetha D Parks | Developmental Therapist | 551 Ginger Ln Apt 10, Calumet City, IL 60409-3007 | 2009-11-16 |
| Find all providers in CALUMET CITY | ||||
| City | CALUMET CITY |
| Zip Code | 60409 |
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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.