MELINDA MICKENS (NPI# 1942674098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942674098 |
| Entity Type | Individual |
| Full Name | MELINDA MICKENS |
| Practice Address |
4000 Eagle Point Corporate Dr Ste 500 Birmingham AL 35242-1900 |
| Mailing Address |
500 Fairway Dr Ste 102 Deerfield Beach FL 33441-1817 |
| Practice Telephone | 9546037885 |
| Mailing Telephone | 8888809270 |
| Enumeration Date | 2015-11-29 |
| Last Update Date | 2015-11-29 |
| 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 |
| Street Address |
4000 EAGLE POINT CORPORATE DR STE 500 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023486693 | Susan Evans | Developmental Therapist | 4000 Eagle Point Corporate Dr Ste 500, Birmingham, AL 35242-1900 | 2015-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| 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 |
|---|---|---|---|---|
| 1023486693 | Susan Evans | Developmental Therapist | 4000 Eagle Point Corporate Dr Ste 500, Birmingham, AL 35242-1900 | 2015-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548772734 | Katy Nell Pearson | Developmental Therapist | 607 26th St, Tuscaloosa, AL 35401-5817 | 2017-10-29 |
| 1386039493 | Sarah Pencille | Developmental Therapist | 306 Wynn Dr Nw, Huntsville, AL 35805-1961 | 2015-04-06 |
| 1720482961 | King Lewis | Developmental Therapist | 905 Ridgegate Pl, Huntsville, AL 35801-1986 | 2014-10-17 |
| 1841620820 | Meghann Kernan | Developmental Therapist | 815 27th Ave, Tuscaloosa, AL 35401-2119 | 2013-11-12 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| 1841537990 | Susan Noble Clark | Developmental Therapist | 1730 Radcliffe Rd, Montgomery, AL 36106-2620 | 2013-01-09 |
| 1013269059 | Bailey Manlief | Developmental Therapist | 10486 Covey Rise Cir, Tuscaloosa, AL 35405-9629 | 2012-10-14 |
| 1578742128 | Mary Jane Quinn | Developmental Therapist | 708 5th St Nw, Attalla, AL 35954-2007 | 2007-10-31 |
| 1215156872 | The Riley Behavioral and Educational Center | Developmental Therapist | 300 Clinton Ave E, Huntsville, AL 35801-6701 | 2007-04-24 |
| 1205302049 | Laurin Mitchell | Developmental Therapist | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2018-10-19 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
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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.