NPIMap

Organization Active NPI

Developmental Foundations, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Champaign, IL
National Provider Identifier
1104290204
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DEVELOPMENTAL FOUNDATIONS, INC.
Practice address
4102 Belmont PT
Champaign, IL 61822-3506
Phone
(217) 398-0754
Fax
(217) 398-1535
NPI assigned
Nov 30, 2015
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Ms. Sherry S Newton, MSW LCSW
Title
Ceo/President
Phone
(217) 398-0754

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4102 Belmont PT
Champaign, IL 61822-3506

Mailing address

4102 Belmont PT
Champaign, IL 61822-3506
Phone (217) 398-0754

National Provider Directory

National Provider Directory
Tax ID family
Developmental Foundations Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1104290204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 BELMONT PT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618223506",
            "telephone_number": "217-398-0754",
            "fax_number": "217-398-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 BELMONT PT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618223506",
            "telephone_number": "217-398-0754",
            "fax_number": "217-398-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL FOUNDATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "217-398-0754",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.