Garza Therapeutic Play Inc

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Legal business name

GARZA THERAPEUTIC PLAY INC

Practice address

4819 S Lamon Ave
Chicago, IL 60638-2122

Phone

(312) 731-6795

Fax

(312) 276-4255

NPI assigned

Sep 9, 2022

Organization subpart

No

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

Authorized official

Name

Selina MejiaNPI 1538368469

Title

Developmental Therapist

Phone

(312) 731-6795

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Selina Mejia

  • Developmental Therapist
  • Chicago, IL
  • NPI 1538368469
  NPD Authorized official

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1194446914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 S LAMON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382122",
            "telephone_number": "312-731-6795",
            "fax_number": "312-276-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 S LAMON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382122",
            "telephone_number": "312-731-6795",
            "fax_number": "312-276-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARZA THERAPEUTIC PLAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "312-731-6795"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary V Rubin MD
• Gary Wiesman MD. LTD
• Rafael Garza Castillon Jr., M.D.
• Regina Garza Elizondo
• Lorena Garza Garcia, MD
• Elsa Marina Garza-Shalaveyus, LCPC
• Abigail Garza, RN
• Aurora Patricia Garza
• Christine Carpo Garza, D.D.S
• David Alejandro Garza, M.D.

• Developmental Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.