Doris Newby-Brisker

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

12735 Hoyne Ave
2E
Blue Island, IL 60406-2282

Phone

(708) 841-0347

Fax

(708) 260-9396

NPI assigned

Oct 22, 2008

Last updated

Oct 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1174775118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12735 HOYNE AVE",
            "address_2": "2E",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062282",
            "telephone_number": "708-841-0347",
            "fax_number": "708-260-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12735 HOYNE AVE",
            "address_2": "2E",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062282",
            "telephone_number": "708-841-0347",
            "fax_number": "708-260-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBY-BRISKER",
        "first_name": "DORIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MSMC Investors, LLC (d/b/a Metro South Medical Center Physician Group)
• John Peter Muckian Jr., LPC
• Sean Nash
• Janice M Nelson, RD
• Neurodiagnostic Services LTD
• Newport Medical Associates, LTD
• Russell W. Norwood, MD
• Jessica Null, LCSW
• Roseline Chibuzo Nwokeji, FNP
• Zury Oampo

• Developmental Therapist in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.