Active NPI
Oak Leyden Developmental Services
- Speech-Language Pathologist
- Oak Park, IL
National Provider Identifier
1033254347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146003481
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Developmental Therapist | 222Q00000X | IL | ||
| Physical Therapist | 225100000X | 070002012 | IL | |
| Physical Therapist | 225100000X | 070004000 | IL | |
| Physical Therapist | 225100000X | 070011242 | IL | |
| Physical Therapist | 225100000X | 070008117 | IL | |
| Occupational Therapist | 225X00000X | 056003098 | IL | |
| Occupational Therapist | 225X00000X | 056001573 | IL | |
| Speech-Language Pathologist | 235Z00000X | 146003481 | IL | Primary |
| Speech-Language Pathologist | 235Z00000X | 146005747 | IL | |
| Speech-Language Pathologist | 235Z00000X | 146008122 | IL | |
| Speech-Language Pathologist | 235Z00000X | 146008222 | IL | |
| Speech-Language Pathologist | 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 Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Oak Park, IL
- NPI 1720303399
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Oak Park, IL
- NPI 1366814220
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.