Organization Active NPI

Oak Leyden Developmental Services

  • Speech-Language Pathologist
  • Oak Park, IL
National Provider Identifier
1033254347
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146003481 Issued in IL
Legal business name
OAK LEYDEN DEVELOPMENTAL SERVICES
Practice address
411 Chicago Ave
Oak Park, IL 60302-2233
Phone
(708) 524-1050
Fax
(708) 524-2469
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Ehmann
Title
Director of Children Services
Phone
(708) 524-1050

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X IL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 070002012 IL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 070004000 IL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 070011242 IL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 070008117 IL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 056003098 IL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 056001573 IL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 146003481 IL Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 146005747 IL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 146008122 IL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 146008222 IL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 146008395 IL

Addresses

Primary practice location

411 Chicago Ave
Oak Park, IL 60302-2233

Mailing address

411 Chicago Ave
Oak Park, IL 60302-2233
Phone (708) 524-1050

National Provider Directory

National Provider Directory
Tax ID family
Oak Leyden Developmental Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

411 Chicago Ave
Oak Park, IL 60302
Phone (708) 524-1050

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1033254347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022233",
            "telephone_number": "708-524-1050",
            "fax_number": "708-524-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022233",
            "telephone_number": "708-524-1050",
            "fax_number": "708-524-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LEYDEN DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "EHMANN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF CHILDREN SERVICES",
        "authorized_official_telephone_number": "708-524-1050"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070002012",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070004000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011242",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070008117",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056003098",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056001573",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146003481",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005747",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008122",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008222",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.