Good Shepherd Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

252Y00000X Issued in IL

Legal business name

GOOD SHEPHERD CENTER

Practice address

529 Cottonwood Rd
Frankfort, IL 60423-1009

Phone

(815) 806-0307

NPI assigned

Jul 17, 2008

Last updated

Jul 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary J Guymon, DT

Title

Developmental Therapist

Phone

(815) 806-0307

Specialties & licenses 1

Addresses

Tax ID family

Good Shepherd Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Good Shepherd Center

  • Developmental Disabilities Clinic/Center
  • Hazel Crest, IL
  • NPI 1093877045
  NPD tax ID

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1295999340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 COTTONWOOD RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231009",
            "telephone_number": "815-806-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 COTTONWOOD RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231009",
            "telephone_number": "815-806-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "GUYMON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "815-806-0307",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "252Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levi Gleason
• Alexandra Glumac, LCPC
• Allen Fred Goldberg, DDS
• Juliet Goldsher, MD
• Julia Gomski
• Dabrene P Goree, LCSW
• Marie Goulet
• Amanda M. Graca
• Grace Home Caregivers, Inc.
• Abigale Judith Graf, OTD, OTR/L

• Early Intervention Provider Agency in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.