Active NPI
Emily M Anderson
- Developmental Therapist
- Downers Grove, IL
National Provider Identifier
1093918484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- EA78350803P
- Practice address
- 2901 Finley Rd
Suite 102
Downers Grove, IL 60515-1041 - Phone
- (630) 495-6800
- Fax
- (630) 495-8200
- NPI assigned
- Jun 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | EA78350803P | IL | Primary |
Addresses
Primary practice location
2901 Finley Rd
Suite 102
Downers Grove, IL 60515-1041
Mailing address
2986 Stirling CT
Montgomery, IL 60538-4075
Phone (630) 264-2917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EA78350803P | IL | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Strategies, Inc | Developmental Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Communication Clubhouse
- Counselor
- Downers Grove, IL
- NPI 1346316593
Developmental Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093918484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2986 STIRLING CT",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605384075",
"telephone_number": "630-264-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 FINLEY RD",
"address_2": "SUITE 102",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151041",
"telephone_number": "630-495-6800",
"fax_number": "630-495-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "EMILY",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "EA78350803P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.