Caryl Lynn Slavin, DT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

CS46210698P Issued in IL

Practice address

255 Revere Dr
Suite 100
Northbrook, IL 60062-1564

Phone

(847) 291-7905

Fax

(847) 291-9641

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caryl Lynn Cohen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Suburban Special Education District

  • Local Education Agency (LEA)
  • Northbrook, IL
  • NPI 1174723944
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1558587386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 REVERE DR",
            "address_2": "SUITE 100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621564",
            "telephone_number": "847-291-7905",
            "fax_number": "847-291-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 REVERE DR",
            "address_2": "SUITE 100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621564",
            "telephone_number": "847-291-7905",
            "fax_number": "847-291-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVIN",
        "first_name": "CARYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "CS46210698P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARYL",
            "last_name": "COHEN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheri Lynne Sinnott, LCSW
• Mark Sisco, M.D.
• Darryl Arlen Skale, D.D.S
• Laura Skindaraite
• Lakaisa Slater
• Alysa Slay, PSY.D.
• Lilly Camille Small
• Abbigail Smith
• Deandra Smith
• Jennifer Marie Smith, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.